Dr Lori A Lundberg, DPM is a medicare enrolled "Podiatrist" provider in Star Lake, New York. She went to Temple University School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Hudson Valley Foot Associates Llp, Boltrope Podiatry Ny Pllc, Clifton-fine Healthcare Corporation and her current practice location is
1014 Oswegatchie Trail Rd, Star Lake, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 848-5404.
Dr Lori A Lundberg is licensed to practice in New York (license number N005411-1) 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 1811995384.
Healthcare Provider's Profile
| Full Name | Dr Lori A Lundberg |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 30 Years |
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| Location | 1014 Oswegatchie Trail Rd, Star Lake, New York |
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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. |
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Medical Education and Training:
- Dr Lori A Lundberg attended and graduated from Temple University School Of Medicine in 1995
NPI Data:
- NPI Number: 1811995384
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 03/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840393773
- Enrollment ID: I20070314000523
Medical Identifiers
Medical identifiers for Dr Lori A Lundberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811995384 | NPI | - | NPPES |
| 01894393 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | N005411-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hudson Valley Foot Associates Llp | 3072403369 | 5 |
| Boltrope Podiatry Ny Pllc | 5496135329 | 22 |
| Clifton-fine Healthcare Corporation | 9739090382 | 9 |
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. Dr Lori A Lundberg allows following entities to bill medicare on her behalf.
| Provider Name | Hudson Valley Foot Associates Llp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134153075
PECOS PAC ID: 3072403369
Enrollment ID: O20040318001786 |
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| Provider Name | Clifton-fine Healthcare Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235184649
PECOS PAC ID: 9739090382
Enrollment ID: O20040511001168 |
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| Provider Name | Boltrope Podiatry Ny Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1912641150
PECOS PAC ID: 5496135329
Enrollment ID: O20220708002052 |
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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. Dr Lori A Lundberg 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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Dr Lori A Lundberg, DPM
325 Lark St,
Albany, NY 12208-3501
Ph: (518) 542-0582 | Dr Lori A Lundberg, DPM
1014 Oswegatchie Trail Rd,
Star Lake, NY 13690-3143
Ph: (315) 848-5404 |
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