Mrs Lorraine P Side, MA MS RN CS APRN is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" in Perkiomenville, Pennsylvania. Her current practice location is
2151 Deep Creek Rd, Perkiomenville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 541-9089.
Mrs Lorraine P Side is licensed to practice in * (Not Available) (license number ) 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 1811084098.
Provider's Profile
Full Name | Mrs Lorraine P Side |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 2151 Deep Creek Rd, Perkiomenville, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811084098
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426057407
- Enrollment ID: I20061221000034
Medical Identifiers
Medical identifiers for Mrs Lorraine P Side such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811084098 | NPI | - | NPPES |
0005815320 | Other | | AETNA |
0492730000 | Other | | KEYSTONE & AMERIHEALTH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364S00000X | Clinical Nurse Specialist | RN248822L (Pennsylvania) | Primary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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 Lorraine P Side 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 |
Mrs Lorraine P Side, MA MS RN CS APRN 2151 Deep Creek Rd, Perkiomenville, PA 18074 Ph: (215) 541-9089 | Mrs Lorraine P Side, MA MS RN CS APRN 2151 Deep Creek Rd, Perkiomenville, PA 18074 Ph: (215) 541-9089 |
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