Lori Ha, DDS is a medicare enrolled "Dentist" provider in Aylett, Virginia. Her current practice location is
8014 Richmond Tappahannock Hwy, Aylett, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 535-0145.
Lori Ha is licensed to practice in Virginia (license number 0401414033) 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 1750722682.
Healthcare Provider's Profile
| Full Name | Lori Ha |
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| Gender | Female |
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| Speciality | Dentist |
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| Location | 8014 Richmond Tappahannock Hwy, Aylett, Virginia |
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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: 1750722682
- Provider Enumeration Date: 07/08/2013
- Last Update Date: 11/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587933213
- Enrollment ID: I20241104001455
Medical Identifiers
Medical identifiers for Lori Ha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750722682 | NPI | - | NPPES |
| 3001529971 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 9965 (Kentucky) | Secondary |
| 1223G0001X | Dentist - General Practice | DE60830459 (Washington) | Secondary |
| 122300000X | Dentist | 0401414033 (Virginia) | 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. Lori Ha allows following entities to bill medicare on her behalf.
| Entity Name | Upper Mattaponi Indian Tribe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750969168
PECOS PAC ID: 4880091446
Enrollment ID: O20210923002671 |
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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. Lori Ha 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 |
|---|
Lori Ha, DDS
8014 Richmond Tappahannock Hwy,
Aylett, VA 23009-4412
Ph: (804) 535-0145 | Lori Ha, DDS
8014 Richmond Tappahannock Hwy,
Aylett, VA 23009
Ph: (804) 535-0145 |
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