September Leigh Wanzenried, APRN - Medicare Nurse Practitioner in La Vista, NE

September Leigh Wanzenried, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in La Vista, Nebraska. Her current practice location is 6901 S 84th St, La Vista, Nebraska. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

September Leigh Wanzenried is licensed to practice in Nebraska (license number 112351) 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 1073030607.

Contact Information

September Leigh Wanzenried, APRN
6901 S 84th St,
La Vista, NE 68128
(866) 389-2727
Not Available



Physician's Profile

Full NameSeptember Leigh Wanzenried
GenderFemale
SpecialityNurse Practitioner - Family
Location6901 S 84th St, La Vista, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073030607
  • Provider Enumeration Date: 08/24/2017
  • Last Update Date: 06/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0648546549
  • Enrollment ID: I20171020000784

Medical Identifiers

Medical identifiers for September Leigh Wanzenried such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073030607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2004 (Nebraska)Secondary
363LF0000XNurse Practitioner - Family A148987 (Iowa)Secondary
363LF0000XNurse Practitioner - Family 112351 (Nebraska)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. September Leigh Wanzenried allows following entities to bill medicare on her behalf.
Entity NameAlegent Health Quick Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215066568
PECOS PAC ID: 3476657370
Enrollment ID: O20070403000169

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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. September Leigh Wanzenried 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
September Leigh Wanzenried, APRN
5205 Cass St,
Omaha, NE 68132-2818

Ph: (402) 301-4348
September Leigh Wanzenried, APRN
6901 S 84th St,
La Vista, NE 68128

Ph: (866) 389-2727

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