Lyea Dorae Shine, - Medicare Certified Registered Nurse Anesthetist (crna) in Pleasant Hope, MO

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Lyea Dorae Shine, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pleasant Hope, Missouri. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Agcny Physicians Pllc, Genesee Physician Practice Pllc, Syracuse Gastroenterological Associates, P.c. and 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.

Contact Information

Lyea Dorae Shine,
502 Mccurry St,
Pleasant Hope, MO 65725-9231
(904) 254-3686
Not Available

Map and Direction




Provider's Profile

Full NameLyea Dorae Shine
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location502 Mccurry St, Pleasant Hope, Missouri
Accepts Medicare AssignmentsYes. 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 graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1396346870
  • Provider Enumeration Date: 11/03/2020
  • Last Update Date: 06/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3577963750
  • Enrollment ID: I20210609001582

Medical Identifiers

Medical identifiers for Lyea Dorae Shine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396346870NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2014029095 (Missouri)Secondary
367500000XNurse Anesthetist, Certified Registered 811313 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Oneida Healthcare CenterOneida, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agcny Physicians Pllc428480434525
Genesee Physician Practice Pllc600211477414
Syracuse Gastroenterological Associates, P.c.630581471648

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lyea Dorae Shine allows following entities to bill medicare on her behalf.
Entity NameNorth American Partners In Anesthesia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649264706
PECOS PAC ID: 7719885771
Enrollment ID: O20040108000176
Entity NameChag Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740279017
PECOS PAC ID: 2668361973
Enrollment ID: O20040315000126
Entity NameSyracuse Gastroenterological Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619947843
PECOS PAC ID: 6305814716
Enrollment ID: O20040923000422
Entity NameAgcny Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033497136
PECOS PAC ID: 4284804345
Enrollment ID: O20110826000658
Entity NameGenesee Physician Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598138356
PECOS PAC ID: 6002114774
Enrollment ID: O20160413000238

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 AddressPractice 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


Nurse Anesthetist, Certified Registered Nurses in Pleasant Hope, MO


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.