Heather Marie Lupole, CRNP is a medicare enrolled "Nurse Practitioner" in Millersburg, Pennsylvania. Her current practice location is
1000 Evelyn Dr, Millersburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 232-9971.
Heather Marie Lupole is licensed to practice in Pennsylvania (license number SP018894) 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 1770081291.
Provider's Profile
| Full Name | Heather Marie Lupole |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1000 Evelyn Dr, Millersburg, Pennsylvania |
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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: 1770081291
- Provider Enumeration Date: 01/30/2018
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507114139
- Enrollment ID: I20180730002403
Medical Identifiers
Medical identifiers for Heather Marie Lupole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770081291 | NPI | - | NPPES |
| 1035338290001 | Medicaid | PA | |
| 103533829-0004 | Medicaid | PA | |
| 103533829-0003 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN577761 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP018894 (Pennsylvania) | Primary |
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. Heather Marie Lupole allows following entities to bill medicare on her behalf.
| Entity Name | Family Practice Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154376937
PECOS PAC ID: 0244124212
Enrollment ID: O20040211000012 |
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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. Heather Marie Lupole 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 |
|---|
Heather Marie Lupole, CRNP
110 S 17th St,
Harrisburg, PA 17104-1123
Ph: (717) 232-9971 | Heather Marie Lupole, CRNP
1000 Evelyn Dr,
Millersburg, PA 17061-1258
Ph: (717) 232-9971 |
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