Mary Lynne Shults, PA-C is a
Physician Assistant physician based in Little Rock, Arkansas. Mary Lynne Shults is licensed to practice in Arkansas (license number PT2020-030) and her current practice location is 1 Childrens Way # 653, Little Rock, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 364-1100.
NPI number for Mary Lynne Shults is 1730687450 and her current mailing address is 1 Childrens Way # 653, Little Rock, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730687450.
Physician's Profile
| Full Name | Mary Lynne Shults |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1 Childrens Way # 653, Little Rock, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730687450
- Provider Enumeration Date: 01/28/2018
- Last Update Date: 04/20/2020
Medical Identifiers
Medical identifiers for Mary Lynne Shults such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730687450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 2866 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | PT2020-030 (Arkansas) | 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. Mary Lynne Shults is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Lynne Shults, PA-C
1 Childrens Way # 653,
Little Rock, AR 72202-3500
Ph: (501) 364-1100 | Mary Lynne Shults, PA-C
1 Childrens Way # 653,
Little Rock, AR 72202-3500
Ph: (501) 364-1100 |
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