Lora Commissaris, PA is a medicare enrolled "Physician Assistant" in Wayland, Michigan. She went to Western Un Of Hlth Sciences, Col Of Podiatric Med and graduated in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Pennock Hospital and her current practice location is
12851 W M 179 Hwy, Wayland, Michigan. You can reach out to her office (for appointments etc.) via phone at
(877) 377-7322.
Lora Commissaris is licensed to practice in Michigan (license number 5601010293) 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 1790387835.
Provider's Profile
Full Name | Lora Commissaris |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 4 Years |
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Location | 12851 W M 179 Hwy, Wayland, Michigan |
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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. |
Medical Education and Training:
- Lora Commissaris attended and graduated from Western Un Of Hlth Sciences, Col Of Podiatric Med in 2020
NPI Data:
- NPI Number: 1790387835
- Provider Enumeration Date: 11/13/2020
- Last Update Date: 07/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315356607
- Enrollment ID: I20210518001221
Medical Identifiers
Medical identifiers for Lora Commissaris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790387835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601010293 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pennock Hospital | 4587551015 | 40 |
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. Lora Commissaris 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 |
Lora Commissaris, PA 100 Michigan St Ne, Grand Rapids, MI 49503-2560 Ph: () - | Lora Commissaris, PA 12851 W M 179 Hwy, Wayland, MI 49348-9318 Ph: (877) 377-7322 |
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