Lara Danielle Rice, is a medicare enrolled "Nurse Practitioner - Gerontology" in Orwell, Ohio. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ultra Health Llc and her current practice location is
87 Staley Rd, Orwell, Ohio. You can reach out to her office (for appointments etc.) via phone at
(731) 394-1145.
Lara Danielle Rice is licensed to practice in Ohio (license number APRN.CNP.0040866) 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 1104760560.
Provider's Profile
| Full Name | Lara Danielle Rice |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 87 Staley Rd, Orwell, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lara Danielle Rice graduated from nursing school in 2025
NPI Data:
- NPI Number: 1104760560
- Provider Enumeration Date: 04/16/2026
- Last Update Date: 04/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 4486122314
- Enrollment ID: I20260508000659
Medical Identifiers
Medical identifiers for Lara Danielle Rice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104760560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.0040866 (Ohio) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.0040866 (Ohio) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.0040866 (Ohio) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ultra Health Llc | 6800186602 | 151 |
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. Lara Danielle Rice allows following entities to bill medicare on her behalf.
| Entity Name | Ultra Health LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20191230002589 |
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| Entity Name | Ultra Health Providers II LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033956057
PECOS PAC ID: 5395284616
Enrollment ID: O20260512001362 |
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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. Lara Danielle Rice 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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Lara Danielle Rice,
Po Box 269084, Dept 1102,
Oklahoma City, OK 73126-9084
Ph: Not Available | Lara Danielle Rice,
87 Staley Rd,
Orwell, OH 44076-8377
Ph: (731) 394-1145 |
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