Jan Lorenz, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rollinsford, New Hampshire. Her current practice location is
108 Woods Run, Rollinsford, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(903) 780-2926.
Jan Lorenz is licensed to practice in Texas (license number 2005000649) 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 1619967569.
Provider's Profile
| Full Name | Jan Lorenz |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 108 Woods Run, Rollinsford, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619967569
- Provider Enumeration Date: 10/24/2005
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 8325006067
- Enrollment ID: I20180322002656
Medical Identifiers
Medical identifiers for Jan Lorenz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619967569 | NPI | - | NPPES |
| 116795906 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | CNP171177 (Maine) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2005000649 (Texas) | 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. Jan Lorenz allows following entities to bill medicare on her behalf.
| Entity Name | York Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376528398 PECOS PAC ID: 6406766781 Enrollment ID: O20040812001065 |
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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. Jan Lorenz 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 |
Jan Lorenz, PMHNP 108 Woods Run, Rollinsford, NH 03869 Ph: (562) 296-2959 | Jan Lorenz, PMHNP 108 Woods Run, Rollinsford, NH 03869-0386 Ph: (903) 780-2926 |
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