Dr Maisee Katelyn Lor, DO - Medicare Family Practice in Southfield, MI

Dr Maisee Katelyn Lor, DO is a medicare enrolled "Family Medicine" physician in Southfield, Michigan. She went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Centracare Clinic and her current practice location is 22250 Providence Dr Ste 500, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 849-3341.

Dr Maisee Katelyn Lor is licensed to practice in Michigan (license number 5101021939) 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 1639551229.

Contact Information

Dr Maisee Katelyn Lor, DO
22250 Providence Dr Ste 500,
Southfield, MI 48075-6213
(248) 849-3341
Not Available

Map and Direction




Physician's Profile

Full NameDr Maisee Katelyn Lor
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location22250 Providence Dr Ste 500, Southfield, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Maisee Katelyn Lor attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2015
  NPI Data:
  • NPI Number: 1639551229
  • Provider Enumeration Date: 06/19/2015
  • Last Update Date: 06/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5890091102
  • Enrollment ID: I20181009000273

Medical Identifiers

Medical identifiers for Dr Maisee Katelyn Lor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639551229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101021939 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centracare Health Home CareSaint cloud, MNHome health agency
St Cloud HospitalSaint cloud, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic2466363395632

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 Maisee Katelyn Lor allows following entities to bill medicare on her behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293

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 Maisee Katelyn Lor 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 AddressPractice Location Address
Dr Maisee Katelyn Lor, DO
22250 Providence Dr Ste 500,
Southfield, MI 48075-6213

Ph: (248) 849-3441
Dr Maisee Katelyn Lor, DO
22250 Providence Dr Ste 500,
Southfield, MI 48075-6213

Ph: (248) 849-3341

Reviews and Comments


Family Medicine Doctors in Southfield, MI

Dr. Vikash Patel, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 22250 Providence Dr Ste 557, Southfield, MI 48075
Phone: 248-849-3447    Fax: 248-849-8021
Braswell Drue Deen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, 5th Floor.fl 5, Southfield, MI 48075
Phone: 248-849-3441    Fax: 248-849-5389
Sylvia Kristine Hollowell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20905 Greenfield, #507, Southfield, MI 48075
Phone: 248-559-5640    Fax: 248-559-7945
Katherine Cybinski, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075
Phone: 248-849-3441    
Naushin Hossain, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075
Phone: 248-849-3441    
Dr. Cheryl Lee Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075
Phone: 248-849-3441    
Dr. Camelia Loredana Salanta, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 26015 Greenfield Rd, Southfield, MI 48076
Phone: 248-552-7230    Fax: 248-552-7514

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.