Lori Dudley, PHD in Roanoke, VA - Medicare Psychologist Provider

Lori Dudley, PHD is a medicare enrolled "Psychologist - Clinical" provider in Roanoke, Virginia. Her current practice location is 4348 Electric Rd, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 769-0976.

Lori Dudley is licensed to practice in Virginia (license number 0810-003042) 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 1477529972.

Contact Information

	Lori Dudley, PHD
	4348 Electric Rd, Roanoke, VA 24018-0720
	(540) 769-0976
	(540) 857-5385

Map and Direction

Healthcare Provider's Profile

Full Name	Lori Dudley
Gender	Female
Speciality	Psychologist - Clinical
Location	4348 Electric Rd, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477529972
Provider Enumeration Date: 02/24/2006
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 4789618968
Enrollment ID: I20050927000381

Medical Identifiers

Medical identifiers for Lori Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477529972	NPI	-	NPPES
010047668	Medicaid	VA
010194644	Medicaid	VA
010194679	Medicaid	VA
7712910	Medicaid	VA
010194652	Medicaid	VA
010077656	Medicaid	VA
010077672	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810-003042 (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 Dudley allows following entities to bill medicare on her behalf.

Entity Name	Carilion Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472

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 Dudley 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 Dudley, PHD 902 S Jefferson St, Roanoke, VA 24016-4404 Ph: (540) 853-0900	Lori Dudley, PHD 4348 Electric Rd, Roanoke, VA 24018-0720 Ph: (540) 769-0976

Reviews and Comments

Psychologist in Roanoke, VA

Nicole Pagano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-561-3900
Ms. Lisa Jane Booan, M.ED, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5901 Plantation Cir, Roanoke, VA 24019 Phone: 540-561-8175
Mrs. Jillian Shillaber, LCP, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 4346 Starkey Rd, Suite 1, Roanoke, VA 24018 Phone: 540-772-8043 Fax: 540-772-8242
Janet Brockington Kegley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2648 Fax: 540-853-2469
Kristen Micheal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-562-3900
Savannah Marie Childers Hommema, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2502
Dr. Ronald L Webster, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7851 Enon Dr, Roanoke, VA 24019 Phone: 540-265-5666 Fax: 540-265-0386

Lori Dudley, PHD - Medicare Psychologist in Roanoke, VA