Ms Lori L Grant, APRN, FNP-C, RD is a medicare enrolled "Nurse Practitioner - Family" provider in Boerne, Texas. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ellen W Lin Md Pa and her current practice location is
30 Cascade Caverns Rd, Boerne, Texas. You can reach out to her office (for appointments etc.) via phone at
(830) 816-5518.
Ms Lori L Grant is licensed to practice in Texas (license number AP142181) 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 1578645925.
Healthcare Provider's Profile
| Full Name | Ms Lori L Grant |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 30 Cascade Caverns Rd, Boerne, Texas |
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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. |
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Medical Education and Training:
- Ms Lori L Grant graduated from medical school in 2019
NPI Data:
- NPI Number: 1578645925
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 08/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426128869
- Enrollment ID: I20190930002720
Medical Identifiers
Medical identifiers for Ms Lori L Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578645925 | NPI | - | NPPES |
| 134806203 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DT04039 (Texas) | Secondary |
| 163W00000X | Registered Nurse | 904537 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP142181 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ellen W Lin Md Pa | 2961589916 | 6 |
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. Ms Lori L Grant allows following entities to bill medicare on her behalf.
| Provider Name | Ellen W Lin Md Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356529598
PECOS PAC ID: 2961589916
Enrollment ID: O20080404000248 |
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| Provider Name | Izuchukwu Okpara Md Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306531629
PECOS PAC ID: 6507223310
Enrollment ID: O20230609002725 |
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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. Ms Lori L Grant 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 |
|---|
Ms Lori L Grant, APRN, FNP-C, RD
30 Cascade Caverns Rd,
Boerne, TX 78015-8308
Ph: (830) 816-5518 | Ms Lori L Grant, APRN, FNP-C, RD
30 Cascade Caverns Rd,
Boerne, TX 78015-8308
Ph: (830) 816-5518 |
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