Lorien Patrice Shack, MD
NPI 1164710406ActiveIndividual· Internal Medicine, Addiction Medicine· Ypsilanti, MI
Internal Medicine, Addiction Medicine (MD) in Ypsilanti, Michigan, trained at Wayne State University School of Medicine (class of 2011). 21 Medicare patients in 2024, $4,413 paid; nearly all of their 68 Part D prescriptions were generic (91%).
Overview
| NPI | 1164710406 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 20, 2011 |
| Last updated in NPPES | Feb 24, 2026 |
| Certified by provider | Feb 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Addiction Medicine Primary | 207RA0401X | 4301099212 | MI |
| General Practice | 208D00000X | 4301099212 | MI |
| Preventive Medicine, Public Health & General Preventive Medicine | 2083P0901X | 4301099212 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Addiction Medicine (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 56 across 10 procedure codes |
| Paid by Medicare | $4,413 |
Part D prescriptions in 2024
| Prescriptions (claims) | 68 · 72 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $6,559 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Addiction Medicine |
| Secondary specialties | Preventive Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Henry Ford Health SystemDetroit, MI · 2,570 clinicians
- Iha Health Services CorporationPontiac, MI · 1,168 clinicians
Hospital affiliations
- St Joe Mercy Hospital System LivoniaLivonia, MI
- Trinity Health Ann Arbor HospitalAnn Arbor, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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