Lorie Rashelle Wydotis, APRN, FNP-C is a medicare enrolled "Internal Medicine - Cardiovascular Disease" in Princeton, Kentucky. Her current practice location is
100 Medical Center Dr, Princeton, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 365-0350.
Lorie Rashelle Wydotis is licensed to practice in Kentucky (license number 3009572) 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 1457731770.
Provider's Profile
| Full Name | Lorie Rashelle Wydotis |
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| Gender | Female |
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| Speciality | Internal Medicine - Cardiovascular Disease |
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| Location | 100 Medical Center Dr, Princeton, Kentucky |
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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: 1457731770
- Provider Enumeration Date: 06/02/2015
- Last Update Date: 02/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294041612
- Enrollment ID: I20150831003002
Medical Identifiers
Medical identifiers for Lorie Rashelle Wydotis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457731770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3009572 (Kentucky) | Secondary |
| 163W00000X | Registered Nurse | 1083029 (Kentucky) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 3009572 (Kentucky) | 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. Lorie Rashelle Wydotis allows following entities to bill medicare on her behalf.
| Entity Name | Trigg County Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538218680
PECOS PAC ID: 5193620805
Enrollment ID: O20031205000118 |
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| Entity Name | Baptist Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922401611
PECOS PAC ID: 5597867184
Enrollment ID: O20150219000942 |
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| Entity Name | Caldwell County Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891207460
PECOS PAC ID: 0749275014
Enrollment ID: O20171211001612 |
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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. Lorie Rashelle Wydotis 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 |
|---|
Lorie Rashelle Wydotis, APRN, FNP-C
100 Medical Center Dr,
Princeton, KY 42445-2430
Ph: (270) 365-0350 | Lorie Rashelle Wydotis, APRN, FNP-C
100 Medical Center Dr,
Princeton, KY 42445-2430
Ph: (270) 365-0350 |
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