Miranda K Lutterman, PMHNP-BC in Coon Rapids, MN

Miranda K Lutterman, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Coon Rapids, Minnesota. Her current practice location is 11660 Round Lake Blvd Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 767-3350.

Miranda K Lutterman is licensed to practice in Minnesota (license number 10413) 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 1083391700.

Contact Information

	Miranda K Lutterman, PMHNP-BC
	11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638
	(763) 767-3350
	Not Available

Map and Direction

Provider's Profile

Full Name	Miranda K Lutterman
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11660 Round Lake Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083391700
Provider Enumeration Date: 07/04/2023
Last Update Date: 07/04/2023

Medicare PECOS Information:

PECOS PAC ID: 4688036114
Enrollment ID: I20230816001328

Medical Identifiers

Medical identifiers for Miranda K Lutterman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083391700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10413 (Minnesota)	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. Miranda K Lutterman allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Miranda K Lutterman 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
Miranda K Lutterman, PMHNP-BC 1509 Roosevelt St, Anoka, MN 55303-1365 Ph: (218) 850-0071	Miranda K Lutterman, PMHNP-BC 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 Ph: (763) 767-3350

Reviews and Comments

Nurse Practitioner Nurses in Coon Rapids, MN

Kamrie Ann Parrott, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11850 Blackfoot St Nw, Ste 130, Coon Rapids, MN 55433 Phone: 763-236-2045
Dr. Diane Elizabeth Hickey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Dr. Judith Onduso, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-8410
Rachel Margaret Bethke, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4040 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-427-9980
Joanne M Hynes, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Suzanne L Schinzel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11475 Robinson Dr Nw, Coon Rapids, MN 55433 Phone: 763-712-6000 Fax: 763-754-4614

Miranda K Lutterman, PMHNP-BC - Medicare Nurse Practitioner in Coon Rapids, MN