Andrea Lynn Detamore, - Medicare Nurse Practitioner in Marion, IN

Andrea Lynn Detamore, is a medicare enrolled "Nurse Practitioner - Family" in Marion, Indiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Marion General Hospital and her current practice location is 441 N Wabash, Marion, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 660-6900.

Andrea Lynn Detamore is licensed to practice in Indiana (license number 2819394A) 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 1356992077.

Contact Information

Andrea Lynn Detamore,
441 N Wabash,
Marion, IN 46952-2612
(765) 660-6900
Not Available

Map and Direction




Provider's Profile

Full NameAndrea Lynn Detamore
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location441 N Wabash, Marion, Indiana
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:
  • Andrea Lynn Detamore graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1356992077
  • Provider Enumeration Date: 09/24/2019
  • Last Update Date: 09/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1759718844
  • Enrollment ID: I20200302002381

Medical Identifiers

Medical identifiers for Andrea Lynn Detamore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356992077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 28198394A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 2819394A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marion General HospitalMarion, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Marion General Hospital913302362598

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. Andrea Lynn Detamore allows following entities to bill medicare on her behalf.
Entity NameMarion General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099041
PECOS PAC ID: 9133023625
Enrollment ID: O20040524001483

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. Andrea Lynn Detamore 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
Andrea Lynn Detamore,
330 N Wabash, Ste G20,
Marion, IN 46952

Ph: (765) 660-7616
Andrea Lynn Detamore,
441 N Wabash,
Marion, IN 46952-2612

Ph: (765) 660-6900

Reviews and Comments


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Mrs. Jennifer R Hite, NP
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Phone: 800-622-6575    
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Carole Wilson, NP
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Practice Location: 1130 N Baldwin Ave, Marion, IN 46952
Phone: 765-660-7480    Fax: 765-382-4495

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.