Ms Lori L Grant, APRN, FNP-C, RD is a medicare enrolled "Nurse Practitioner - Family" provider in Boerne, Texas. Her current practice location is
30 Cascade Caverns Rd, Boerne, Texas. You can reach out to her office (for appointments etc.) via phone at
(830) 816-5518.
Ms Lori L Grant is licensed to practice in Texas (license number AP142181) 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 1578645925.
Healthcare Provider's Profile
| Full Name | Ms Lori L Grant |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 30 Cascade Caverns Rd, Boerne, Texas |
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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: 1578645925
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 08/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426128869
- Enrollment ID: I20190930002720
Medical Identifiers
Medical identifiers for Ms Lori L Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578645925 | NPI | - | NPPES |
| 134806203 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DT04039 (Texas) | Secondary |
| 163W00000X | Registered Nurse | 904537 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP142181 (Texas) | 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. Ms Lori L Grant allows following entities to bill medicare on her behalf.
| Provider Name | Larouge Healthcare |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669074159
PECOS PAC ID: 9234532433
Enrollment ID: O20210823003173 |
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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. Ms Lori L Grant 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 |
|---|
Ms Lori L Grant, APRN, FNP-C, RD
30 Cascade Caverns Rd,
Boerne, TX 78015-8308
Ph: (830) 816-5518 | Ms Lori L Grant, APRN, FNP-C, RD
30 Cascade Caverns Rd,
Boerne, TX 78015-8308
Ph: (830) 816-5518 |
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