Nancy D Lodge, MD is a medicare enrolled "Pediatrics" physician in Fredericktown, Missouri. She went to Eastern Virginia Medical School and graduated in 1990 and has 36 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Madison Medical Center Stockhoff Memorial Nursing Home and her current practice location is
611 W Main St, Fredericktown, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 783-3341.
Nancy D Lodge is licensed to practice in Arizona (license number 31111) 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 1104973858.
Physician's Profile
| Full Name | Nancy D Lodge |
|---|
| Gender | Female |
|---|
| Speciality | Pediatric Medicine |
|---|
| Experience | 36 Years |
|---|
| Location | 611 W Main St, Fredericktown, Missouri |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Nancy D Lodge attended and graduated from Eastern Virginia Medical School in 1990
NPI Data:
- NPI Number: 1104973858
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 06/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 7911022660
- Enrollment ID: I20121103000095
Medical Identifiers
Medical identifiers for Nancy D Lodge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104973858 | NPI | - | NPPES |
| 1Z9363 | Other | AZ | HEALTHNET |
| 4575331 | Other | AZ | AETNA US HEALTHCARE |
| 164351 | Medicaid | AZ | |
| AZ0729800 | Other | AZ | BLUE CROSS BLUE SHEILD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 31111 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Madison Medical Center Stockhoff Memorial Nursing Home | 1355255886 | 19 |
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. Nancy D Lodge allows following entities to bill medicare on her behalf.
| Entity Name | Madison Medical Center Stockhoff Memorial Nursing Home |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1720163025
PECOS PAC ID: 1355255886
Enrollment ID: O20031118000558 |
|---|
| Entity Name | Madison Medical Center Stockhoff Memorial Nursing Home |
|---|
| Entity Type | Part A Provider - Critical Access Hospital |
|---|
| Entity Identifiers | NPI Number: 1720163025
PECOS PAC ID: 1355255886
Enrollment ID: O20080723000675 |
|---|
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. Nancy D Lodge 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 |
|---|
Nancy D Lodge, MD
611 W Main St,
Fredericktown, MO 63645-1111
Ph: (573) 783-3341 | Nancy D Lodge, MD
611 W Main St,
Fredericktown, MO 63645-1111
Ph: (573) 783-3341 |
Reviews and Comments