Lora Ann Dimichele, AGNP-C in Cleveland, OH - Medicare Nurse Practitioner

Lora Ann Dimichele, AGNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Cleveland, Ohio. Her current practice location is 11100 Euclid Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at () -.

Lora Ann Dimichele is licensed to practice in Ohio (license number APRN.CNP.0035361) 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 1457124265.

Contact Information

	Lora Ann Dimichele, AGNP-C
	11100 Euclid Ave, Cleveland, OH 44106-1716
	() -
	Not Available

Map and Direction

Provider's Profile

Full Name	Lora Ann Dimichele
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	11100 Euclid Ave, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457124265
Provider Enumeration Date: 11/02/2023
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 8123470234
Enrollment ID: I20240113000492

Medical Identifiers

Medical identifiers for Lora Ann Dimichele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457124265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	APRN.CNP.0035361 (Ohio)	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. Lora Ann Dimichele allows following entities to bill medicare on her behalf.

Entity Name	Great Lakes Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184091712 PECOS PAC ID: 4183932072 Enrollment ID: O20150925000885

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. Lora Ann Dimichele 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
Lora Ann Dimichele, AGNP-C 8506 Hallnorth Dr, Mentor, OH 44060-6036 Ph: (440) 840-3968	Lora Ann Dimichele, AGNP-C 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: () -

Reviews and Comments

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Anne M Tomsich, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Q10-1, Cleveland, OH 44195 Phone: 216-444-0415 Fax: 216-445-2267
Mrs. Allison Leigh Pullum, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, C25, Cleveland, OH 44195 Phone: 216-445-1583 Fax: 216-444-9890

Lora Ann Dimichele, AGNP-C - Medicare Nurse Practitioner in Cleveland, OH