Lauren Ann Giandomenico, PA-C is a medicare enrolled "Physician Assistant" physician in Fort Collins, Colorado. Her current practice location is
1024 S Lemay Ave, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 495-7000.
Lauren Ann Giandomenico is licensed to practice in Oregon (license number PA179312) 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 1619322237.
Physician's Profile
Full Name | Lauren Ann Giandomenico |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1024 S Lemay Ave, Fort Collins, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619322237
- Provider Enumeration Date: 05/02/2016
- Last Update Date: 08/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173803079
- Enrollment ID: I20161212001666
Medical Identifiers
Medical identifiers for Lauren Ann Giandomenico such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619322237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA.0005395 (Colorado) | Secondary |
363A00000X | Physician Assistant | PA179312 (Oregon) | Primary |
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. Lauren Ann Giandomenico 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 |
Lauren Ann Giandomenico, PA-C Po Box 912215, Denver, CO 80291-2215 Ph: (303) 306-7783 | Lauren Ann Giandomenico, PA-C 1024 S Lemay Ave, Fort Collins, CO 80524-3929 Ph: (970) 495-7000 |
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