Fred Clinton Lovrien, MD is a medicare enrolled "Nuclear Medicine" physician in Sioux Falls, South Dakota. His current practice location is
1205 S Grange Ave, Ste 301, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 328-2170.
Fred Clinton Lovrien is licensed to practice in South Dakota (license number 2292) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497751341.
Physician's Profile
| Full Name | Fred Clinton Lovrien |
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| Gender | Male |
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| Speciality | Nuclear Medicine |
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| Location | 1205 S Grange Ave, Sioux Falls, South Dakota |
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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: 1497751341
- Provider Enumeration Date: 06/24/2005
- Last Update Date: 04/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 2466448907
- Enrollment ID: I20040628000461
Medical Identifiers
Medical identifiers for Fred Clinton Lovrien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497751341 | NPI | - | NPPES |
| 6620048 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 2292 (South Dakota) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 2292 (South Dakota) | Secondary |
| 207U00000X | Nuclear Medicine | 2292 (South Dakota) | 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. Fred Clinton Lovrien allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532 |
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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. Fred Clinton Lovrien 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 |
|---|
Fred Clinton Lovrien, MD
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-2170 | Fred Clinton Lovrien, MD
1205 S Grange Ave, Ste 301,
Sioux Falls, SD 57105-0407
Ph: (605) 328-2170 |
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