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, Cep America - 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 | 5 |
| Cep America - Anesthesia Pc | 3678897915 | 849 |
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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