Katheryn Angel Lordy, PA - Medicare Physician Assistant in Raleigh, NC

Katheryn Angel Lordy, PA is a medicare enrolled "Physician Assistant" in Raleigh, North Carolina. Her current practice location is 8300 Health Park Ste 211, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 803-0028.

Katheryn Angel Lordy is licensed to practice in North Carolina (license number 0010-12342) 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 1013633155.

Contact Information

Katheryn Angel Lordy, PA
8300 Health Park Ste 211,
Raleigh, NC 27615-4731
(919) 803-0028
Not Available



Provider's Profile

Full NameKatheryn Angel Lordy
GenderFemale
SpecialityPhysician Assistant
Location8300 Health Park Ste 211, Raleigh, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013633155
  • Provider Enumeration Date: 10/19/2022
  • Last Update Date: 10/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193197358
  • Enrollment ID: I20230216000708

Medical Identifiers

Medical identifiers for Katheryn Angel Lordy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013633155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-12342 (North Carolina)Primary

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. Katheryn Angel Lordy 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 AddressPractice Location Address
Katheryn Angel Lordy, PA
8300 Health Park Ste 211,
Raleigh, NC 27615-4731

Ph: () -
Katheryn Angel Lordy, PA
8300 Health Park Ste 211,
Raleigh, NC 27615-4731

Ph: (919) 803-0028

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› Verified 2 days ago


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