Mr Kevin Joseph Lundell, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tabor City, North Carolina. His current practice location is
106 Tabor Xing, Tabor City, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 653-1901.
Mr Kevin Joseph Lundell is licensed to practice in California (license number 95017624) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992204556.
Provider's Profile
| Full Name | Mr Kevin Joseph Lundell |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 106 Tabor Xing, Tabor City, North Carolina |
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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: 1992204556
- Provider Enumeration Date: 02/08/2018
- Last Update Date: 09/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234480468
- Enrollment ID: I20180926002812
Medical Identifiers
Medical identifiers for Mr Kevin Joseph Lundell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992204556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 201904622NP-PP (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F10171373 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95017624 (California) | 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. Mr Kevin Joseph Lundell allows following entities to bill medicare on his behalf.
| Entity Name | Wellspan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815 |
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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. Mr Kevin Joseph Lundell 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 |
|---|
Mr Kevin Joseph Lundell, FNP-C
Po Box 6149,
Aloha, OR 97007-0149
Ph: (503) 352-8657 | Mr Kevin Joseph Lundell, FNP-C
106 Tabor Xing,
Tabor City, NC 28463-2705
Ph: (910) 653-1901 |
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