MRS. LORA JEANETTE MANDERS (MA, LLPC, CAADC, PAC) – Physician Assistant, NPI 1194133082
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MRS. LORA JEANETTE MANDERS (MA, LLPC, CAADC, PAC)
6869 S OCCIDENTAL RD
TECUMSEH, MI 492869784
Phone: (517) 423-4777
Fax: (517) 423-7257
Type: Location
6869 S Occidental Rd
Tecumseh, MI 492869784
Phone: (517) 423-4777
Fax: (517) 423-7257
Type: Location
771 N Maple Grove Ave
Hudson, MI 492471149
Phone: (734) 847-3802
Type: Location
1200 N MAIN ST
ADRIAN, MI 492211759
Phone: (517) 263-1800
Type: Location
8765 LEWIS AVE
TEMPERANCE, MI 481829300
Phone: (734) 847-3802
Fax: (734) 850-0520
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-03-11 • Largest payer in this snapshot: Tempus AI, Inc ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tempus AI, Inc | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-04-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170405001460 | I | Physician Assistant | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 190 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 37 | $0 |
Insurance plans in this area (ZIP 49286)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Physician Assistant | MI | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | MI | |
| Mental Health Counselor | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | MI |
Reviews
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