Dr Lori Ann Sportelli, OD is a medicare enrolled "Optometrist" provider in Rosedale, Maryland. She went to Pennsylvania College Of Optometry and graduated in 1994 and has 30 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Wink Vision and her current practice location is
8201 Philadelphia Rd, Rosedale, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 866-2022.
Dr Lori Ann Sportelli is licensed to practice in Maryland (license number TA1569) 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 1417035981.
Healthcare Provider's Profile
Full Name | Dr Lori Ann Sportelli |
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Gender | Female |
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Speciality | Optometry |
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Experience | 30 Years |
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Location | 8201 Philadelphia Rd, Rosedale, Maryland |
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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. |
Medical Education and Training:
- Dr Lori Ann Sportelli attended and graduated from Pennsylvania College Of Optometry in 1994
NPI Data:
- NPI Number: 1417035981
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/30/2012
Medicare PECOS Information:
- PECOS PAC ID: 2668646084
- Enrollment ID: I20111122000188
Medical Identifiers
Medical identifiers for Dr Lori Ann Sportelli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417035981 | NPI | - | NPPES |
401431600 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TA1569 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Wink Vision | 2264705730 | 3 |
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. Dr Lori Ann Sportelli allows following entities to bill medicare on her behalf.
Provider Name | Wink Vision |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1205366333 PECOS PAC ID: 2264705730 Enrollment ID: O20191228000041 |
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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. Dr Lori Ann Sportelli 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 |
Dr Lori Ann Sportelli, OD 814 S Ellwood Ave, Baltimore, MD 21224-3951 Ph: (410) 284-2352 | Dr Lori Ann Sportelli, OD 8201 Philadelphia Rd, Rosedale, MD 21237-2832 Ph: (410) 866-2022 |
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