Landon Mouritsen, in Sterling, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Landon Mouritsen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sterling, Illinois. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Humboldt General Hospital, Intermountain Ambulatory Anesthesia, Pllc, St Alphonsus Professional Medical Services Llc and his current practice location is 100 E Le Fevre Rd, Sterling, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 625-0400.

Landon Mouritsen is licensed to practice in California (license number 950001442) 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 1720592595.

Contact Information

	Landon Mouritsen,
	100 E Le Fevre Rd, Sterling, IL 61081-1278
	(815) 625-0400
	Not Available

Map and Direction

Provider's Profile

Full Name	Landon Mouritsen
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	100 E Le Fevre Rd, Sterling, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Landon Mouritsen graduated from nursing school in 2017

NPI Data:

NPI Number: 1720592595
Provider Enumeration Date: 11/30/2017
Last Update Date: 05/14/2021

Medicare PECOS Information:

PECOS PAC ID: 7214298439
Enrollment ID: I20190729001474

Medical Identifiers

Medical identifiers for Landon Mouritsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720592595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041.458698 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	950001442 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Alphonsus Regional Medical Center	Boise, ID	Hospital
Humboldt General Hospital	Winnemucca, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Humboldt General Hospital	5193709798	43
Intermountain Ambulatory Anesthesia, Pllc	0345235180	10
St Alphonsus Professional Medical Services Llc	7214849751	106

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 Mouritsen allows following entities to bill medicare on his behalf.

Entity Name	Humboldt General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922152784 PECOS PAC ID: 5193709798 Enrollment ID: O20040614000195

Entity Name	Humboldt General Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1750498010 PECOS PAC ID: 5193709798 Enrollment ID: O20061104000361

Entity Name	Lifelinc Anesthesia Nevada Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851950463 PECOS PAC ID: 8921431800 Enrollment ID: O20191206001221

Entity Name	Carson Tahoe Physician Hospital Organization, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063169829 PECOS PAC ID: 8628465721 Enrollment ID: O20220419002777

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 Mouritsen 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
Landon Mouritsen, 8 Alpen Strasse, Latrobe, PA 15650-3429 Ph: () -	Landon Mouritsen, 100 E Le Fevre Rd, Sterling, IL 61081-1278 Ph: (815) 625-0400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Sterling, IL

Dennis Kyarsgaard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 E. Lefevre Road, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-625-2747
Tyler J Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 E Lefevre Rd, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-625-2747
Eric Thueson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 E Lefevre Rd, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-625-2747
Cheryle F Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 E Lefevre Rd, Sterling, IL 61081 Phone: 815-625-0400
Roger Arquilla, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 E Lefevre Road, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-625-2747
Laverle Kyarsgaard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 E. Lefevre Road, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-625-2747
Jesse Chiu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 E Le Fevre Rd, Sterling, IL 61081 Phone: 815-625-0400

Landon Mouritsen, - Medicare Certified Registered Nurse Anesthetist (crna) in Sterling, IL