Dr Lauren Wilson Love, MD is a medicare enrolled "Dermatology" physician in Fort Carson, Colorado. Her current practice location is
1650 Cochrane Cir, Fort Carson, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 526-7670.
Dr Lauren Wilson Love is licensed to practice in Virginia (license number 0101268019) 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 1700379047.
Physician's Profile
| Full Name | Dr Lauren Wilson Love |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 1650 Cochrane Cir, Fort Carson, Colorado |
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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: 1700379047
- Provider Enumeration Date: 06/12/2018
- Last Update Date: 07/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749711539
- Enrollment ID: I20241003002952
Medical Identifiers
Medical identifiers for Dr Lauren Wilson Love such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700379047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0101268019 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | 0101268019 (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. Dr Lauren Wilson Love allows following entities to bill medicare on her behalf.
| Entity Name | Mountaintop Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699021386
PECOS PAC ID: 0446409809
Enrollment ID: O20121001000253 |
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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 Wilson Love 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 Lauren Wilson Love, MD
1650 Cochrane Cir,
Fort Carson, CO 80913-4613
Ph: (719) 526-7670 | Dr Lauren Wilson Love, MD
1650 Cochrane Cir,
Fort Carson, CO 80913-4613
Ph: (719) 526-7670 |
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