Lori Bubash, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Bloomfield, Michigan. She went to University Of Minnesota Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Cleveland Clinic Health Services Professional Association Inc and her current practice location is
6816 Valley Spring Rd, Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 255-1941.
Lori Bubash is licensed to practice in Michigan (license number 4301080761) 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 1417916602.
Physician's Profile
| Full Name | Lori Bubash |
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| Gender | Female |
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| Speciality | Diagnostic Radiology |
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| Experience | 27 Years |
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| Location | 6816 Valley Spring Rd, Bloomfield, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lori Bubash attended and graduated from University Of Minnesota Medical School in 1997
NPI Data:
- NPI Number: 1417916602
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 04/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769412659
- Enrollment ID: I20050819000781
Medical Identifiers
Medical identifiers for Lori Bubash such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417916602 | NPI | - | NPPES |
| 300F362420 | Other | MI | BCBSM |
| 4771321 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 4301080761 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cleveland Clinic Health Services Professional Association Inc | 3577813005 | 38 |
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. Lori Bubash allows following entities to bill medicare on her behalf.
| Entity Name | Cleveland Clinic Health Services Professional Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770082471
PECOS PAC ID: 3577813005
Enrollment ID: O20190712000286 |
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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. Lori Bubash 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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Lori Bubash,
6816 Valley Spring Rd,
Bloomfield, MI 48301-2845
Ph: (248) 255-1941 | Lori Bubash,
6816 Valley Spring Rd,
Bloomfield, MI 48301-2845
Ph: (248) 255-1941 |
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