Lori E Rousche, MD - Medicare Family Practice in Souderton, PA

Lori E Rousche, MD is a medicare enrolled "Family Medicine" physician in Souderton, Pennsylvania. She went to Medical College Of Pennsylvania and graduated in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Trivalley Primary Care Pc and her current practice location is 777 Route 113, Souderton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 723-3280.

Lori E Rousche is licensed to practice in Pennsylvania (license number MD042355L) 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 1275588691.

Contact Information

Lori E Rousche, MD
777 Route 113,
Souderton, PA 18964-1000
(215) 723-3280
Not Available

Map and Direction




Physician's Profile

Full NameLori E Rousche
GenderFemale
SpecialityFamily Practice
Experience36 Years
Location777 Route 113, Souderton, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lori E Rousche attended and graduated from Medical College Of Pennsylvania in 1988
  NPI Data:
  • NPI Number: 1275588691
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 01/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8123190923
  • Enrollment ID: I20100308000017

Medical Identifiers

Medical identifiers for Lori E Rousche such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275588691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD042355L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grand View Home CareSellersville, PAHome health agency
Continuous Home Care IncHavertown, PAHome health agency
Grand View HospiceSellersville, PAHospice
Grand View HospitalSellersville, PAHospital
Souderton Mennonite HomesSouderton, PANursing home
Lutheran Community At TelfordTelford, PANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trivalley Primary Care Pc498168092355

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 E Rousche allows following entities to bill medicare on her behalf.
Entity NameTrivalley Primary Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245295757
PECOS PAC ID: 4981680923
Enrollment ID: O20040629000657

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 E Rousche 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 AddressPractice Location Address
Lori E Rousche, MD
777 Route 113,
Souderton, PA 18964-1000

Ph: (215) 723-3280
Lori E Rousche, MD
777 Route 113,
Souderton, PA 18964-1000

Ph: (215) 723-3280

Reviews and Comments


Family Medicine Doctors in Souderton, PA

Dr. Timothy Matthew Daly, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 777 Route 113, Souderton, PA 18964
Phone: 215-723-3280    Fax: 215-723-5503
Dr. Jennifer Butler, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3456 Bethlehem Pike, Souderton, PA 18964
Phone: 215-721-6500    Fax: 215-721-6505
Dr. Richard D. Byrnes, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 650 E Broad St, Souderton, PA 18964
Phone: 215-723-8972    Fax: 215-723-8961
Dr. Falguni C Patel, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3456 Bethlehem Pike, Souderton, PA 18964
Phone: 215-721-6500    Fax: 215-721-6505
Dr. Debra George-reichley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 777 Route 113, Souderton, PA 18964
Phone: 215-723-3280    Fax: 215-257-8657
Heather K Hart, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 777 Route 113, Souderton, PA 18964
Phone: 215-723-3280    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.