Lori M Roses, AUD is a medicare enrolled "Audiologist" provider in Ladson, South Carolina. Her current practice location is
3495 Iron Horse Rd Ste B, Ladson, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 258-5060.
Lori M Roses is licensed to practice in South Carolina (license number 4104) 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 1174783021.
Healthcare Provider's Profile
| Full Name | Lori M Roses |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 3495 Iron Horse Rd Ste B, Ladson, South Carolina |
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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: 1174783021
- Provider Enumeration Date: 06/13/2008
- Last Update Date: 06/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153495619
- Enrollment ID: I20190305001527
Medical Identifiers
Medical identifiers for Lori M Roses such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174783021 | NPI | - | NPPES |
| SA1994 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | 41YA00058800 (New Jersey) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 25MG00091600 (New Jersey) | Secondary |
| 231H00000X | Audiologist | 4104 (South Carolina) | 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 M Roses allows following entities to bill medicare on her behalf.
| Provider Name | Palmetto Primary Care Physicians Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
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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 M Roses 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 |
Lori M Roses, AUD Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071 | Lori M Roses, AUD 3495 Iron Horse Rd Ste B, Ladson, SC 29456-4319 Ph: (843) 258-5060 |
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