Mrs Lori Selfridge, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Burnham, Pennsylvania. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Geisinger Clinic and her current practice location is
224 N Logan Blvd, Burnham, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 242-0196.
Mrs Lori Selfridge is licensed to practice in Pennsylvania (license number SP011872) 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 1255601712.
Provider's Profile
| Full Name | Mrs Lori Selfridge |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 224 N Logan Blvd, Burnham, Pennsylvania |
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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:
- Mrs Lori Selfridge graduated from nursing school in 2010
NPI Data:
- NPI Number: 1255601712
- Provider Enumeration Date: 12/30/2011
- Last Update Date: 04/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284891094
- Enrollment ID: I20120207000315
Medical Identifiers
Medical identifiers for Mrs Lori Selfridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255601712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | SP011872 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Geisinger Clinic | 5395657001 | 3078 |
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. Mrs Lori Selfridge allows following entities to bill medicare on her behalf.
| Entity Name | Geisinger Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
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| Entity Name | Emergency Care Services Of Pennsylvania Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046 |
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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. Mrs Lori Selfridge 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 |
Mrs Lori Selfridge, CRNP 100 N Academy Ave # Mc4903, Danville, PA 17822-9800 Ph: (570) 271-6144 | Mrs Lori Selfridge, CRNP 224 N Logan Blvd, Burnham, PA 17009-1850 Ph: (717) 242-0196 |
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