Lorraine Vyverberg, RN is a medicare enrolled "Registered Nurse" in Roch, New York. Her current practice location is
112 Willowbrook Rd, Roch, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 503-8119.
Lorraine Vyverberg is licensed to practice in New York (license number 4582931) 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 1750506317.
Provider's Profile
| Full Name | Lorraine Vyverberg |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 112 Willowbrook Rd, Roch, New York |
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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: 1750506317
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 06/30/2009
Medicare PECOS Information:
- PECOS PAC ID: 3072762657
- Enrollment ID: I20120926000391
Medical Identifiers
Medical identifiers for Lorraine Vyverberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750506317 | NPI | - | NPPES |
| 01637865 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 4582931 (New York) | Primary |
| 363LF0000X | Nurse Practitioner - Family | F333027 (New York) | Secondary |
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. Lorraine Vyverberg allows following entities to bill medicare on her behalf.
| Entity Name | Cornerstone Urgent Care Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932647955
PECOS PAC ID: 9739456229
Enrollment ID: O20180716000609 |
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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. Lorraine Vyverberg 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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Lorraine Vyverberg, RN
811 Chase Road,
Hilton, NY 14468
Ph: (585) 392-9520 | Lorraine Vyverberg, RN
112 Willowbrook Rd,
Roch, NY 14616
Ph: (585) 503-8119 |
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