Lori Flis, CNP is a medicare enrolled "Nurse Practitioner - Family" in Sophia, West Virginia. Her current practice location is
302 W Main Street, Gulf Family Practice Ii, Sophia, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 683-4304.
Lori Flis is licensed to practice in West Virginia (license number 45370) 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 1154457117.
Provider's Profile
| Full Name | Lori Flis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 302 W Main Street, Sophia, West Virginia |
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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: 1154457117
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 04/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 1759464548
- Enrollment ID: I20080218000291
Medical Identifiers
Medical identifiers for Lori Flis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154457117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 45370 (West Virginia) | 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 Flis allows following entities to bill medicare on her behalf.
| Entity Name | Carelon Medical Partners PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160303000018 |
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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 Flis 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 |
Lori Flis, CNP Po Box 337, Scarbro, WV 25917-0337 Ph: (304) 469-2905 | Lori Flis, CNP 302 W Main Street, Gulf Family Practice Ii, Sophia, WV 25921 Ph: (304) 683-4304 |
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