Mr Lawrence James Dubray Sr, PA is a medicare enrolled "Physician Assistant" in Rosebud Phs Ihs, South Dakota. His current practice location is
South Soldier Creek Rd Hospital, Rosebud Phs Ihs, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 747-2231.
Mr Lawrence James Dubray Sr is licensed to practice in South Dakota (license number 0102) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689643082.
Provider's Profile
| Full Name | Mr Lawrence James Dubray Sr |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | South Soldier Creek Rd Hospital, Rosebud Phs Ihs, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689643082
- Provider Enumeration Date: 03/16/2006
- Last Update Date: 11/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 8426060591
- Enrollment ID: I20080211000014
Medical Identifiers
Medical identifiers for Mr Lawrence James Dubray Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689643082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0102 (South Dakota) | 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. Mr Lawrence James Dubray Sr 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 |
|---|
Mr Lawrence James Dubray Sr, PA
Po #152,
Mission, SD 57555
Ph: (605) 747-4077 | Mr Lawrence James Dubray Sr, PA
South Soldier Creek Rd Hospital,
Rosebud Phs Ihs, SD 57570
Ph: (605) 747-2231 |
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