Mary Lyn Dore, APRN in Sulphur, LA - Medicare Nurse Practitioner

Mary Lyn Dore, APRN is a medicare enrolled "Nurse Practitioner - Family" in Sulphur, Louisiana. Her current practice location is 701 Cypress St, Sulphur, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 527-7034.

Mary Lyn Dore is licensed to practice in Louisiana (license number 234472) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689438764.

Contact Information

	Mary Lyn Dore, APRN
	701 Cypress St, Sulphur, LA 70663-5053
	(337) 527-7034
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Lyn Dore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	701 Cypress St, Sulphur, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689438764
Provider Enumeration Date: 02/09/2024
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 6901245422
Enrollment ID: I20240417001533

Medical Identifiers

Medical identifiers for Mary Lyn Dore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689438764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	234472 (Louisiana)	Primary

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. Mary Lyn Dore allows following entities to bill medicare on her behalf.

Entity Name	Calcasieu Cameron Emergency Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699167478 PECOS PAC ID: 3476871815 Enrollment ID: O20150414002039

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 Lyn Dore 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
Mary Lyn Dore, APRN 2853 Christy Dr, Lake Charles, LA 70611-3658 Ph: (337) 540-4963	Mary Lyn Dore, APRN 701 Cypress St, Sulphur, LA 70663-5053 Ph: (337) 527-7034

Reviews and Comments

Nurse Practitioner Nurses in Sulphur, LA

Kennetha L Simien, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 High Hope Rd, Sulphur, LA 70663 Phone: 337-527-8140
Mrs. Marilyn Hopson Watson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Stelly Ln, Sulphur, LA 70663 Phone: 337-312-1000 Fax: 337-527-8963
Laken Desonier Kelly, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3649 S Beglis Pkwy, 3645 S. Beglis Pkwy, Sulphur, LA 70665 Phone: 337-476-3149
Amanda Kate Dawson, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371
Carly Hillebrandt, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3649 S Beglis Pkwy, Sulphur, LA 70665 Phone: 337-626-1011 Fax: 337-558-5585
Angie Ewalt Dukes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 921 1st Ave, Sulphur, LA 70663 Phone: 337-527-6385 Fax: 337-527-3527
Dean Joseph Chesson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Summerwood Dr, Sulphur, LA 70663 Phone: 337-304-7656

Mary Lyn Dore, APRN - Medicare Nurse Practitioner in Sulphur, LA