Lauren Rose Dierlam, PA is a medicare enrolled "Physician Assistant - Medical" in Red Hook, New York. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Albany Medical College and her current practice location is
7385 S Broadway # 2, Red Hook, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 758-1456.
Lauren Rose Dierlam is licensed to practice in * (Not Available) (license number ) 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 1285187633.
Provider's Profile
| Full Name | Lauren Rose Dierlam |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 7385 S Broadway # 2, Red Hook, New York |
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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:
- Lauren Rose Dierlam graduated from nursing school in 2016
NPI Data:
- NPI Number: 1285187633
- Provider Enumeration Date: 08/02/2016
- Last Update Date: 02/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 7810236460
- Enrollment ID: I20190227000512
Medical Identifiers
Medical identifiers for Lauren Rose Dierlam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285187633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Albany Medical College | 1759293111 | 915 |
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 Rose Dierlam 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 Rose Dierlam, PA
7385 S Broadway, # 2,
Red Hook, NY 12571-1745
Ph: (914) 772-4656 | Lauren Rose Dierlam, PA
7385 S Broadway # 2,
Red Hook, NY 12571-1745
Ph: (845) 758-1456 |
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