Lori Ann Marietta, ACNS is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in North Canton, Ohio. Her current practice location is
6100 Whipple Ave Nw, North Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 244-8118.
Lori Ann Marietta is licensed to practice in Ohio (license number 11388-NS) 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 1760788053.
Provider's Profile
| Full Name | Lori Ann Marietta |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Adult Health |
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| Location | 6100 Whipple Ave Nw, North Canton, Ohio |
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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: 1760788053
- Provider Enumeration Date: 02/03/2011
- Last Update Date: 02/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 4981889060
- Enrollment ID: I20110505000382
Medical Identifiers
Medical identifiers for Lori Ann Marietta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760788053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 259463 (Ohio) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 11388-NS (Ohio) | 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. Lori Ann Marietta allows following entities to bill medicare on her behalf.
| Entity Name | Orrville Hospital Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891718375
PECOS PAC ID: 7911890546
Enrollment ID: O20040206000004 |
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| Entity Name | Ohio Hospital-based Physicians Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891727079
PECOS PAC ID: 9133019110
Enrollment ID: O20040316000515 |
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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. Lori Ann Marietta 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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Lori Ann Marietta, ACNS
6100 Whipple Ave Nw,
North Canton, OH 44720-7618
Ph: (330) 244-8118 | Lori Ann Marietta, ACNS
6100 Whipple Ave Nw,
North Canton, OH 44720-7618
Ph: (330) 244-8118 |
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