Lyea Dorae Shine, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pleasant Hope, Missouri. Her current practice location is
502 Mccurry St, Pleasant Hope, Missouri. You can reach out to her office (for appointments etc.) via phone at
(904) 254-3686.
Lyea Dorae Shine is licensed to practice in New York (license number 811313) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396346870.
Provider's Profile
| Full Name | Lyea Dorae Shine |
|---|
| Gender | Female |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 502 Mccurry St, Pleasant Hope, Missouri |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Lyea Dorae Shine attended and graduated from in
NPI Data:
- NPI Number: 1396346870
- Provider Enumeration Date: 11/03/2020
- Last Update Date: 06/01/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lyea Dorae Shine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396346870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 2014029095 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 811313 (New York) | 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. Lyea Dorae Shine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lyea Dorae Shine,
Po Box 68,
Fayetteville, NY 13066-0068
Ph: (904) 254-3686 | Lyea Dorae Shine,
502 Mccurry St,
Pleasant Hope, MO 65725-9231
Ph: (904) 254-3686 |
Reviews and Comments