LORI HEATHER BODENHEIMER PA-C
NPI 1801058359
Physician Assistant - Medical in Bryn Mawr, PA

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010(484) 337-3770 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori Heather Bodenheimer Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI HEATHER BODENHEIMER PA-C (NPI 1801058359) is an individual medical provider in Bryn Mawr, Pennsylvania and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1801058359
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLORI HEATHER BODENHEIMERCredential: PA-C
Location Address130 S BRYN MAWR AVEBryn Mawr, PA 19010
Mailing Address1432 Southwind WayDresher, PA 19025-1026 · (202) 422-5924
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateJuly 31, 2018
NPI 1801058359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
130 S BRYN MAWR AVE, Bryn Mawr, PA 19010

Other Names 1

Former Name (1)Lori Heather Kaufman Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lori Heather Bodenheimer Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355417643
PECOS Enrollment IDI20080911000018
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
130 S BRYN MAWR AVE, SUITE H321
BRYN MAWR, PA 19010
Nurse Practitioner (Adult Health)
130 S BRYN MAWR AVE, SUITE H321
BRYN MAWR, PA 19010
Pediatrics
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Physician Assistant
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Podiatrist (Foot & Ankle Surgery)
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Urology
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Nurse Anesthetist, Certified Registered
130 S BRYN MAWR AVE, BRYN MAWR HOSPITAL ANESTHESIA DEPT.
BRYN MAWR, PA 19010
Physician Assistant
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Bodenheimer's NPI number?

The NPI number for Lori Bodenheimer is 1801058359. It was assigned to this individual provider in the NPPES registry on June 26, 2008. The provider is also known as Lori Heather Kaufman Pa-C.

Where is Lori Bodenheimer located?

Lori Bodenheimer practices at 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010. The listed phone number is (484) 337-3770.

What is Lori Bodenheimer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lori Bodenheimer enrolled in Medicare?

Yes. Lori Bodenheimer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lori Bodenheimer was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.