Lauren Marie Gravois, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Orange City, Florida. Her current practice location is
2824 Enterprise Rd, Orange City, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 774-7411.
Lauren Marie Gravois is licensed to practice in Florida (license number APRN9355757) 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 1598146581.
Physician's Profile
| Full Name | Lauren Marie Gravois |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2824 Enterprise Rd, Orange City, Florida |
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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: 1598146581
- Provider Enumeration Date: 06/15/2015
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789941493
- Enrollment ID: I20171206000305
Medical Identifiers
Medical identifiers for Lauren Marie Gravois such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598146581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0100X | Internal Medicine - Gastroenterology | APRN9355757 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN9355757 (Florida) | 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. Lauren Marie Gravois allows following entities to bill medicare on her behalf.
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760590962
PECOS PAC ID: 2567356058
Enrollment ID: O20040216000091 |
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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. Lauren Marie Gravois 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 |
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Lauren Marie Gravois, NP-C
Po Box 102222,
Atlanta, GA 30368-2222
Ph: (239) 274-8200 | Lauren Marie Gravois, NP-C
2824 Enterprise Rd,
Orange City, FL 32763-8428
Ph: (386) 774-7411 |
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