Lori B Large, is a medicare enrolled "Physical Therapist" provider in Belle Isle, Florida. Her current practice location is
5003 Saint Marie Ave, Belle Isle, Florida. You can reach out to her office (for appointments etc.) via phone at
(419) 787-5508.
Lori B Large is licensed to practice in Florida (license number PT24383) 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 1073804522.
Healthcare Provider's Profile
| Full Name | Lori B Large |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 5003 Saint Marie Ave, Belle Isle, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073804522
- Provider Enumeration Date: 05/02/2011
- Last Update Date: 10/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 0143562116
- Enrollment ID: I20190424000570
Medical Identifiers
Medical identifiers for Lori B Large such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073804522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT24383 (Florida) | 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. Lori B Large allows following entities to bill medicare on her behalf.
| Provider Name | Florida Luna Care Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1114542032
PECOS PAC ID: 3779991559
Enrollment ID: O20210415001126 |
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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. Lori B Large 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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Lori B Large,
5003 Saint Marie Ave,
Belle Isle, FL 32812-1068
Ph: (419) 787-5508 | Lori B Large,
5003 Saint Marie Ave,
Belle Isle, FL 32812-1068
Ph: (419) 787-5508 |
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