Dr Lauren Graham Bourell, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Sylvania, Ohio. She went to New York University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Oral Surgery. She is a member of the group practice Western Lake Erie Oms Ltd. and her current practice location is
5690 Monroe St, Sylvania, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 479-3939.
Dr Lauren Graham Bourell is licensed to practice in Ohio (license number 30.024410) 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 1295908028.
Healthcare Provider's Profile
| Full Name | Dr Lauren Graham Bourell |
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| Gender | Female |
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| Speciality | Oral Surgery |
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| Experience | 12 Years |
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| Location | 5690 Monroe St, Sylvania, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lauren Graham Bourell attended and graduated from New York University School Of Medicine in 2012
NPI Data:
- NPI Number: 1295908028
- Provider Enumeration Date: 04/13/2008
- Last Update Date: 08/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 7012205065
- Enrollment ID: I20161007000554
Medical Identifiers
Medical identifiers for Dr Lauren Graham Bourell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295908028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30.024410 (Ohio) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 30.024410 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Western Lake Erie Oms Ltd. | 8022908136 | 4 |
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. Dr Lauren Graham Bourell allows following entities to bill medicare on her behalf.
| Entity Name | Western Lake Erie Oms Ltd. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538380662
PECOS PAC ID: 8022908136
Enrollment ID: O20040319000945 |
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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. Dr Lauren Graham Bourell 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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Dr Lauren Graham Bourell, DDS, MD
5690 Monroe St,
Sylvania, OH 43560-2736
Ph: (419) 479-3939 | Dr Lauren Graham Bourell, DDS, MD
5690 Monroe St,
Sylvania, OH 43560-2736
Ph: (419) 479-3939 |
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