Lori M Scales, MD - Medicare Internal Medicine in Mt Washington, KY

Lori M Scales, MD is a medicare enrolled "Pediatrics" physician in Mt Washington, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Community Medical Associates Inc and her current practice location is 300 High Point Ct, Mt Washington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 955-6129.

Lori M Scales is licensed to practice in Kentucky (license number 35852) 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 1316902109.

Contact Information

Lori M Scales, MD
300 High Point Ct,
Mt Washington, KY 40047-6560
(502) 955-6129
(502) 955-8161

Map and Direction




Physician's Profile

Full NameLori M Scales
GenderFemale
SpecialityInternal Medicine
Experience25 Years
Location300 High Point Ct, Mt Washington, Kentucky
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 M Scales attended and graduated from University Of Louisville School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1316902109
  • Provider Enumeration Date: 04/18/2006
  • Last Update Date: 09/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5193782308
  • Enrollment ID: I20041220000136

Medical Identifiers

Medical identifiers for Lori M Scales such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316902109NPI-NPPES
1208710OtherCHA / NMA
50001529OtherPASSPORT / NMA
P00176818OtherKYRAILROAD MEDICARE
000000350676OtherANTHEM / NMA
023067OtherSIHO / NMA
000052154GOtherHUMANA / NMA
2443114000OtherPASSPORT ADVANTAGE / NMA
64067580MedicaidKY
5843355OtherCIGNA / NMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 35852 (Kentucky)Primary
207R00000XInternal Medicine 35852 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Norton Hospitals, IncLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Medical Associates Inc70128112841098

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 Scales allows following entities to bill medicare on her behalf.
Entity NameCommunity Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656

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 Scales 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 M Scales, MD
Po Box 776351,
Chicago, IL 60677-6351

Ph: (502) 588-9490
Lori M Scales, MD
300 High Point Ct,
Mt Washington, KY 40047-6560

Ph: (502) 955-6129

Reviews and Comments


Pediatrics Doctors in Mt Washington, KY

Daniel Bruce Kischnick, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 327 Eastbrooke Pointe Dr, Suite 200, Mt Washington, KY 40047
Phone: 502-538-5090    Fax: 502-538-4089
Dr. Jenna Thurman, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 327 Eastbrooke Pointe Dr Ste 200, Mt Washington, KY 40047
Phone: 502-523-5090    
Nathan David Whitmore, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 300 High Point Ct, Mt Washington, KY 40047
Phone: 502-955-6129    Fax: 502-955-8161

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.