Dr Mary Michele Lagorio, DO is a
Internal Medicine physician based in Hopland, California. Dr Mary Michele Lagorio is licensed to practice in Florida (license number OS8741) and her current practice location is 11750 Old River Rd, Hopland, California. She can be reached at her office (for appointments etc.) via phone at
(707) 972-5415.
NPI number for Dr Mary Michele Lagorio is 1144396060 and her current mailing address is 11755 Old River Rd, Hopland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144396060.
Physician's Profile
| Full Name | Dr Mary Michele Lagorio |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
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| Location | 11750 Old River Rd, Hopland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144396060
- Provider Enumeration Date: 11/24/2006
- Last Update Date: 12/12/2022
Medical Identifiers
Medical identifiers for Dr Mary Michele Lagorio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144396060 | NPI | - | NPPES |
| P00471709 | Other | FL | RR MEDICARE |
| 57948 | Other | FL | BCBS |
| 99267 | Other | FL | BC/BS |
| 266515800 | Medicaid | FL | |
| P00204267 | Other | FL | RAILROAD MEDICARE |
| 291851 | Other | FL | AVMED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | OS8741 (Florida) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 20A6812 (California) | Secondary |
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 Mary Michele Lagorio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mary Michele Lagorio, DO
11755 Old River Rd,
Hopland, CA 95449-2132
Ph: (707) 972-5415 | Dr Mary Michele Lagorio, DO
11750 Old River Rd,
Hopland, CA 95449-2132
Ph: (707) 972-5415 |
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