LAUREN K REITZ PA
NPI 1639554157
Physician Assistant - Medical in Lancaster, PA

NPI Status: Active since July 27, 2015

Contact Information

555 N DUKE ST
LANCASTER, PA
ZIP 17602
Phone: (717) 394-6028

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  • Individual
  • Female
  • Years of Experience 11
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LAUREN REITZ

This page provides the complete NPI Profile along with additional information for Lauren Reitz, a primary care provider established in Lancaster, Pennsylvania with a medical specialization in Physician Assistant, focusing in medical and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1639554157 assigned on July 2015. The practitioner's primary taxonomy code is 363AM0700X with license number MA057620 (PA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1639554157
Provider Name
LAUREN K REITZ PA
Gender
Female
Entity Type
Individual
Location Address
555 N DUKE ST LANCASTER, PA 17602
Location Phone
(717) 394-6028
Mailing Address
PO BOX 4216 LANCASTER, PA 17604
Mailing Phone
(717) 394-6028
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
07-27-2015
Last Update Date
04-28-2022
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A primary care provider (PCP) like Lauren Reitz sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
MA057620
License State
PA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO
  • Bronze Simple Chronic Care CKM | MercyOne - EPO
  • Bronze Simple Diabetes | MercyOne - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | MercyOne - EPO
  • Gold Elite - EPO
  • Gold Elite | MercyOne - EPO
  • Secure - EPO
  • Secure | MercyOne - EPO
  • Silver Classic - EPO
  • Silver Classic | MercyOne - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | MercyOne - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
103200080-0004MEDICAID (05)PA 
103200080-0003MEDICAID (05)PA 

Medicare Participation & PECOS Enrollment Status

Lauren Reitz is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Lauren Reitz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2567778871

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150901002929

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration of fluid from chest cavity using imaging guidance

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

This service was performed 20 times for 12 patients

Double contrast x-ray of esophagus

A double contrast x-ray of the esophagus is a diagnostic procedure that uses a special type of x-ray and a contrast material to capture detailed images of your esophagus. This helps in identifying any abnormalities or issues.

This service was performed 34 times for 34 patients

Drainage of fluid from abdominal cavity using imaging guidance

This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.

This service was performed 65 times for 24 patients

Fluoroscopic guidance for spine or back muscle injection

Fluoroscopic guidance for spine or back muscle injection is a procedure where a special X-ray technology, called fluoroscopy, is used to help accurately place the needle for an injection in the spine or back muscles. This ensures precise delivery of medication to the targeted area.

This service was performed 16 times for 15 patients

Imaging for evaluation of swallowing function

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

This service was performed 31 times for 31 patients

Injection of contrast for imaging of lower spinal canal

This procedure involves injecting a special dye, called contrast, into your lower spine. The contrast helps create clearer images of your spinal canal during imaging tests. It aids in identifying any abnormalities or issues more effectively.

This service was performed 13 times for 13 patients

Removal of tunneled central venous tube

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

This service was performed 12 times for 12 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lauren Reitz is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LANCASTER GENERAL HOSPITAL555 NORTH DUKE STREET
LANCASTER, PA 17602
(717) 544-5511Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639554157, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 0 + 5 + 8 + 1 + 1 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1639554157.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
555 N DUKE ST
LANCASTER, PA 17602
Radiology (Diagnostic Radiology)
555 N DUKE ST
LANCASTER, PA 17602
Radiology (Diagnostic Radiology)
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602
Internal Medicine
555 N DUKE ST
LANCASTER, PA 17602
Emergency Medicine
555 N DUKE ST
LANCASTER, PA 17602
Family Medicine
555 N DUKE ST
LANCASTER, PA 17602
Emergency Medicine
555 N DUKE ST
LANCASTER, PA 17602
Emergency Medicine
555 N DUKE ST
LANCASTER, PA 17602
Specialist/Technologist, Pathology
555 N DUKE ST
LANCASTER, PA 17602
Family Medicine
555 N DUKE ST
LANCASTER, PA 17602
Specialist/Technologist, Pathology
555 N DUKE ST
LANCASTER, PA 17602
Specialist/Technologist, Pathology
555 N DUKE ST
LANCASTER, PA 17602
Surgery
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602
Nurse Anesthetist, Certified Registered
555 N DUKE ST
LANCASTER, PA 17602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639554157, enumerated as an "individual" on July 27, 2015.

The provider is located at 555 N DUKE ST LANCASTER, PA 17602 and the phone number is (717) 394-6028.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Oscar Insurance Company, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Lauren Reitz is affiliated with: LANCASTER GENERAL HOSPITAL.