Lisa Ann Dynan-dobbertien, DO - Medicare Family Medicine in Orange Park, FL

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Lisa Ann Dynan-dobbertien, DO is a medicare enrolled "Family Medicine" physician in Orange Park, Florida. Her current practice location is 3229 Bear Run Blvd, Clay County Health Dept -bldg A, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 213-3202.

Lisa Ann Dynan-dobbertien is licensed to practice in Florida (license number OS6382) 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 1255306627.

Contact Information

Lisa Ann Dynan-dobbertien, DO
3229 Bear Run Blvd, Clay County Health Dept -bldg A,
Orange Park, FL 32065
(904) 213-3202
(904) 272-4353

Map and Direction




Physician's Profile

Full NameLisa Ann Dynan-dobbertien
GenderFemale
SpecialityFamily Medicine
Location3229 Bear Run Blvd, Orange Park, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255306627
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 02/04/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4789750761
  • Enrollment ID: I20080828000225

Medical Identifiers

Medical identifiers for Lisa Ann Dynan-dobbertien such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255306627NPI-NPPES
377329900MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS6382 (Florida)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. Lisa Ann Dynan-dobbertien allows following entities to bill medicare on her behalf.
Entity NameFlorida Department Of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023081932
PECOS PAC ID: 3072424282
Enrollment ID: O20040724000002

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. Lisa Ann Dynan-dobbertien 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
Lisa Ann Dynan-dobbertien, DO
Po Box 578, Clay County Health Department,
Green Cove Springs, FL 32043-0578

Ph: (904) 529-2800		Lisa Ann Dynan-dobbertien, DO
3229 Bear Run Blvd, Clay County Health Dept -bldg A,
Orange Park, FL 32065

Ph: (904) 213-3202

Reviews and Comments


Family Medicine Doctors in Orange Park, FL

Larry Steven Garsha, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2858 Country Club Blvd, Orange Park, FL 32073
Phone: 904-579-4553    
Tonya Nichelle Hollinger, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2285 Kingsley Ave Ste E, Orange Park, FL 32073
Phone: 904-309-9660    Fax: 844-388-6186
Barbara Leigh Cruikshank, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073
Phone: 904-269-2900    Fax: 904-269-1140
Darby R Martin, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1008 Park Ave Ste A, Orange Park, FL 32073
Phone: 904-264-9293    Fax: 904-390-7492
Dr. Justin Myles Stark, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073
Phone: 904-269-2900    Fax: 904-269-1140
William V Choisser, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073
Phone: 904-264-2297    Fax: 904-264-6266
Allison Dasta Butler, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065
Phone: 904-282-4565    Fax: 904-282-4225

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.