Shauna Lorenzo-rivero, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Ashland, Kentucky. Her current practice location is
613 23rd St Ste 430, Ashland, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 408-8200.
Shauna Lorenzo-rivero is licensed to practice in Kentucky (license number 57522) 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 1336169804.
Physician's Profile
| Full Name | Shauna Lorenzo-rivero |
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| Gender | Female |
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| Speciality | Colon & Rectal Surgery |
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| Location | 613 23rd St Ste 430, Ashland, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336169804
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 06/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254361587
- Enrollment ID: I20230424002685
Medical Identifiers
Medical identifiers for Shauna Lorenzo-rivero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336169804 | NPI | - | NPPES |
| 101313 | Medicaid | AL | |
| 5829223 | Other | | CIGNA |
| 259908999A | Medicaid | GA | |
| 1507110 | Medicaid | TN | |
| P00643432 | Other | | RR MEDICARE |
| 4187700 | Other | TN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD43226 (Tennessee) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 57522 (Kentucky) | Primary |
| 208600000X | Surgery | 57522 (Kentucky) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 43226 (Tennessee) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 35.146884 (Ohio) | Secondary |
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. Shauna Lorenzo-rivero allows following entities to bill medicare on her behalf.
| Entity Name | Kings Daughters Medical Specialties Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710215736
PECOS PAC ID: 6103968029
Enrollment ID: O20100217000538 |
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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. Shauna Lorenzo-rivero 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 |
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Shauna Lorenzo-rivero, MD
Po Box 2379,
Ashland, KY 41105-2379
Ph: (606) 408-6200 | Shauna Lorenzo-rivero, MD
613 23rd St Ste 430,
Ashland, KY 41101-2885
Ph: (606) 408-8200 |
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