Landon Lauber, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plymouth, Indiana. He went to Marian University College Of Osteopathic Medicine and graduated in 2024 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Great Lakes Anesthesia Pc and his current practice location is
1915 Lake Ave, Plymouth, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 948-4911.
Landon Lauber is licensed to practice in Indiana (license number 149768) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902679160.
Provider's Profile
| Full Name | Landon Lauber |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 1915 Lake Ave, Plymouth, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Landon Lauber attended and graduated from Marian University College Of Osteopathic Medicine in 2024
NPI Data:
- NPI Number: 1902679160
- Provider Enumeration Date: 10/31/2023
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436692126
- Enrollment ID: I20240622000512
Medical Identifiers
Medical identifiers for Landon Lauber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902679160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WS0200X | Registered Nurse - School | 28243465A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 149768 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Great Lakes Anesthesia Pc | 0648183442 | 9 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Landon Lauber allows following entities to bill medicare on his behalf.
| Entity Name | Great Lakes Anesthesia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720039977
PECOS PAC ID: 0648183442
Enrollment ID: O20031107000452 |
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| Entity Name | Ams Northern Indiana Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427619840
PECOS PAC ID: 8022444306
Enrollment ID: O20200205000244 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Landon Lauber is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Landon Lauber,
1700 Hope Blvd,
Plymouth, IN 46563-1253
Ph: (574) 555-5555 | Landon Lauber,
1915 Lake Ave,
Plymouth, IN 46563-9366
Ph: (574) 948-4911 |
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