Lori Wertheimer, MD - Medicare Pediatrics in Monument, CO

Lori Wertheimer, MD is a medicare enrolled "Pediatrics" physician in Monument, Colorado. Her current practice location is 192 Front St, Monument, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 488-6998.

Lori Wertheimer is licensed to practice in Colorado (license number 31067) 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 1972543965.

Contact Information

Lori Wertheimer, MD
192 Front St,
Monument, CO 80132-6738
(719) 488-6998
(719) 488-8270

Map and Direction




Physician's Profile

Full NameLori Wertheimer
GenderFemale
SpecialityPediatrics
Location192 Front St, Monument, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972543965
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6305073289
  • Enrollment ID: I20170302002077

Medical Identifiers

Medical identifiers for Lori Wertheimer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972543965NPI-NPPES
01310671MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 31067 (Colorado)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. Lori Wertheimer allows following entities to bill medicare on her behalf.
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122
Entity NameOptumcare Colorado Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407252828
PECOS PAC ID: 2769706431
Enrollment ID: O20150129000413
Entity NameMountain View Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528510302
PECOS PAC ID: 0345521381
Enrollment ID: O20170105000266

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 Wertheimer 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 AddressPractice Location Address
Lori Wertheimer, MD
192 Front St,
Monument, CO 80132-6738

Ph: (719) 488-6998
Lori Wertheimer, MD
192 Front St,
Monument, CO 80132-6738

Ph: (719) 488-6998

Reviews and Comments


Pediatrics Doctors in Monument, CO

Kirsten Ruth Martinson Nelson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 17580 Colonial Park Dr, Monument, CO 80132
Phone: 719-487-0617    
Laura Dobbs Carson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 17230 Jackson Creek Pkwy Monument Pediatrics, Suite #260, Monument, CO 80132
Phone: 719-488-6998    Fax: 719-488-8270
Dr. Michael Halenkamp, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Po Box 544, Monument, CO 80132
Phone: 719-522-1134    Fax: 719-268-2819
Dr. Kathleen S Foote, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15909 Jackson Creek Pkwy, Monument, CO 80132
Phone: 719-488-6998    
Dr. Diana Michaela Tapay, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15909 Jackson Creek Pkwy, Monument, CO 80132
Phone: 719-488-6998    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.