Dr Andrea Lynn Lundell, MD, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rockwall, Texas. Her current practice location is
105 Liberty Ln, Rockwall, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 722-3766.
Dr Andrea Lynn Lundell is licensed to practice in Texas (license number L1118) 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 1619938354.
Physician's Profile
| Full Name | Dr Andrea Lynn Lundell |
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| Gender | Female |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 105 Liberty Ln, Rockwall, 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: 1619938354
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 07/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 9436124153
- Enrollment ID: I20040826001374
Medical Identifiers
Medical identifiers for Dr Andrea Lynn Lundell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619938354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085B0100X | Radiology - Body Imaging | L1118 (Texas) | Secondary |
| 2085N0700X | Radiology - Neuroradiology | L1118 (Texas) | Secondary |
| 2085N0904X | Radiology - Nuclear Radiology | L1118 (Texas) | Secondary |
| 2085P0229X | Radiology - Pediatric Radiology | L1118 (Texas) | Secondary |
| 2085R0203X | Radiology - Therapeutic Radiology | L1118 (Texas) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | L1118 (Texas) | Secondary |
| 2085R0205X | Radiology - Radiological Physics | L1118 (Texas) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | L1118 (Texas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | L1118 (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. Dr Andrea Lynn Lundell allows following entities to bill medicare on her behalf.
| Entity Name | County Of Los Angeles |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851363188
PECOS PAC ID: 1850296534
Enrollment ID: O20031204001218 |
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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 Andrea Lynn Lundell 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 |
|---|
Dr Andrea Lynn Lundell, MD,
105 Liberty Ln,
Rockwall, TX 75032-8462
Ph: (972) 722-3766 | Dr Andrea Lynn Lundell, MD,
105 Liberty Ln,
Rockwall, TX 75032-8462
Ph: (972) 722-3766 |
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