Mrs Lori Dian Daniel, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Montgomery, Indiana. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Montgomery Medical Associates Llc and her current practice location is
542 N 3rd St, Montgomery, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 486-2842.
Mrs Lori Dian Daniel is licensed to practice in Indiana (license number 71009476A) 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 1538710090.
Provider's Profile
| Full Name | Mrs Lori Dian Daniel |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 542 N 3rd St, Montgomery, Indiana |
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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:
- Mrs Lori Dian Daniel graduated from nursing school in 2019
NPI Data:
- NPI Number: 1538710090
- Provider Enumeration Date: 09/26/2019
- Last Update Date: 10/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204168131
- Enrollment ID: I20191026000122
Medical Identifiers
Medical identifiers for Mrs Lori Dian Daniel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538710090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 28150963A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71009476A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Montgomery Medical Associates Llc | 3072693126 | 2 |
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. Mrs Lori Dian Daniel allows following entities to bill medicare on her behalf.
| Entity Name | Montgomery Medical Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023205754
PECOS PAC ID: 3072693126
Enrollment ID: O20080214000123 |
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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. Mrs Lori Dian Daniel 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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Mrs Lori Dian Daniel, FNP-C
Po Box 102,
Montgomery, IN 47558-0102
Ph: (812) 486-2842 | Mrs Lori Dian Daniel, FNP-C
542 N 3rd St,
Montgomery, IN 47558-5745
Ph: (812) 486-2842 |
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