Rena Frances Rivas Lorek, is a medicare enrolled "Nurse Practitioner - Family" in Trotwood, Ohio. Her current practice location is
5130 Salem Ave, Trotwood, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 529-4443.
Rena Frances Rivas Lorek is licensed to practice in Indiana (license number 28163642A) 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 1023675642.
Provider's Profile
Full Name | Rena Frances Rivas Lorek |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 5130 Salem Ave, Trotwood, Ohio |
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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: 1023675642
- Provider Enumeration Date: 05/20/2019
- Last Update Date: 11/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901268879
- Enrollment ID: I20230810000441
Medical Identifiers
Medical identifiers for Rena Frances Rivas Lorek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023675642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 28163642A (Indiana) | Secondary |
207Q00000X | Family Medicine | 28163642A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71009106A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0036834 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | 28163642A (Indiana) | 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. Rena Frances Rivas Lorek allows following entities to bill medicare on her behalf.
Entity Name | Flourish Health Group In Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467168252 PECOS PAC ID: 9537524988 Enrollment ID: O20230508002231 |
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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. Rena Frances Rivas Lorek 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 |
Rena Frances Rivas Lorek, 655 Burntwood Dr, Beavercreek, OH 45430-1654 Ph: (219) 226-5353 | Rena Frances Rivas Lorek, 5130 Salem Ave, Trotwood, OH 45426-2042 Ph: (937) 529-4443 |
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