Randell Craig Lussenden, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Morris, Minnesota. His current practice location is
400 East First Street, Morris, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 589-1313.
Randell Craig Lussenden is licensed to practice in Minnesota (license number R0919104) 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 1396847638.
Provider's Profile
| Full Name | Randell Craig Lussenden |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 400 East First Street, Morris, Minnesota |
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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: 1396847638
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 01/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991233124
- Enrollment ID: I20250115001628
Medical Identifiers
Medical identifiers for Randell Craig Lussenden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396847638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R0919104 (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. Randell Craig Lussenden allows following entities to bill medicare on his behalf.
| Entity Name | Stevens Community Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417105552
PECOS PAC ID: 3678475852
Enrollment ID: O20040127000493 |
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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. Randell Craig Lussenden 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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Randell Craig Lussenden, CRNA
Po Box 660, 400 East First Street,
Morris, MN 56267-0660
Ph: (320) 589-1313 | Randell Craig Lussenden, CRNA
400 East First Street,
Morris, MN 56267-0660
Ph: (320) 589-1313 |
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