Laura R Withorne-maloney, CNP - Medicare Nurse Practitioner in Sioux Falls, SD

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Laura R Withorne-maloney, CNP is a medicare enrolled "Nurse Practitioner - Family" in Sioux Falls, South Dakota. She graduated from nursing school in 1997 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Avera Mckennan and her current practice location is 4400 W 69th St, Ste 500, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 322-7580.

Laura R Withorne-maloney is licensed to practice in South Dakota (license number CP000224) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255303707.

Contact Information

Laura R Withorne-maloney, CNP
4400 W 69th St, Ste 500,
Sioux Falls, SD 57108-8170
(605) 322-7580
(605) 322-7579

Map and Direction




Provider's Profile

Full NameLaura R Withorne-maloney
GenderFemale
SpecialityNurse Practitioner
Experience29 Years
Location4400 W 69th St, Sioux Falls, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Laura R Withorne-maloney graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1255303707
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 12/11/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9739199639
  • Enrollment ID: I20060421000203

Medical Identifiers

Medical identifiers for Laura R Withorne-maloney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255303707NPI-NPPES
0007942OtherSDBLUE CROSS
1908517MedicaidIA
48D58WIOtherMNCC SYSTEMS/ BLUE PLUS
6826062MedicaidSD
769191017347OtherSDPREFERRED ONE
797890OtherSDARAZ/ AMERICA'S PPO
92411422904OtherMNPRIMEWEST
9237794OtherSDDAKOTACARE
HP31902OtherSDHEALTHPARTNERS
25457OtherSDSANFORD HEALTH PLAN
393603100MedicaidMN
151768OtherMNUCARE
22358OtherSDMIDLANDS CHOICE
46022474340MedicaidNE
P00146949OtherSDRR MEDICARE
12242MedicaidND
57108D008OtherSDWPS TRICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CP000224 (South Dakota)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health CP000224 (South Dakota)Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 0224 (South Dakota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera Mckennan0345157103927

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 R Withorne-maloney allows following entities to bill medicare on her behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699009944
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117

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 R Withorne-maloney 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 R Withorne-maloney, CNP
2400 S Minnesota Ave, Ste 100,
Sioux Falls, SD 57105-3761

Ph: (605) 322-7510		Laura R Withorne-maloney, CNP
4400 W 69th St, Ste 500,
Sioux Falls, SD 57108-8170

Ph: (605) 322-7580

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).

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