Laura Ann Henneker, NP is a medicare enrolled "Nurse Practitioner - Family" in Cordova, Alaska. Her current practice location is
Po Box 160, Cordova, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 424-8000.
Laura Ann Henneker is licensed to practice in Alaska (license number 138454) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376608489.
Provider's Profile
| Full Name | Laura Ann Henneker |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | Po Box 160, Cordova, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376608489
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 08/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971546730
- Enrollment ID: I20190829001701
Medical Identifiers
Medical identifiers for Laura Ann Henneker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376608489 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 138454 (Alaska) | Primary |
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. Laura Ann Henneker allows following entities to bill medicare on her behalf.
| Entity Name | Cordova Community Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215035787
PECOS PAC ID: 1759275902
Enrollment ID: O20040210000439 |
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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. Laura Ann Henneker 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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Laura Ann Henneker, NP
5125 Skyway,
Paradise, CA 95969-5624
Ph: (530) 872-2000 | Laura Ann Henneker, NP
Po Box 160,
Cordova, AK 99574-0160
Ph: (907) 424-8000 |
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