Laura Jean Wicker, FNP - Medicare Nurse Practitioner in Lafayette, IN

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Laura Jean Wicker, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Indiana. Her current practice location is 3554 Promenade Pkwy Ste B, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 946-2194.

Laura Jean Wicker is licensed to practice in Indiana (license number 71001702A) 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 1114981842.

Contact Information

Laura Jean Wicker, FNP
3554 Promenade Pkwy Ste B,
Lafayette, IN 47909-8418
(574) 946-2194
(574) 946-2196

Map and Direction




Provider's Profile

Full NameLaura Jean Wicker
GenderFemale
SpecialityNurse Practitioner - Family
Location3554 Promenade Pkwy Ste B, Lafayette, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114981842
  • Provider Enumeration Date: 04/12/2006
  • Last Update Date: 04/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971577016
  • Enrollment ID: I20040824000561

Medical Identifiers

Medical identifiers for Laura Jean Wicker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114981842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71001702A (Indiana)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 Jean Wicker allows following entities to bill medicare on her behalf.
Entity NameCleanslate Medical Group Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023464294
PECOS PAC ID: 4880963909
Enrollment ID: O20171023001515
Entity NamePhoenix Paramedic Solutions, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912766197
PECOS PAC ID: 4082973557
Enrollment ID: O20240625000297

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 Jean Wicker 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 AddressPractice Location Address
Laura Jean Wicker, FNP
3554 Promenade Pkwy Ste B,
Lafayette, IN 47909-8418

Ph: (574) 992-1226		Laura Jean Wicker, FNP
3554 Promenade Pkwy Ste B,
Lafayette, IN 47909-8418

Ph: (574) 946-2194

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.