Dori Lyn Wasmundt, PAC is a medicare enrolled "Physician Assistant" in Hereford, Texas. She graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Regence Health Network Inc and her current practice location is
125 W Park Ave, Hereford, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 364-7688.
Dori Lyn Wasmundt is licensed to practice in Texas (license number PA03407) 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 1033119169.
Provider's Profile
| Full Name | Dori Lyn Wasmundt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 25 Years |
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| Location | 125 W Park Ave, Hereford, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dori Lyn Wasmundt graduated from nursing school in 2001
NPI Data:
- NPI Number: 1033119169
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 04/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 5193885788
- Enrollment ID: I20081217000619
Medical Identifiers
Medical identifiers for Dori Lyn Wasmundt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033119169 | NPI | - | NPPES |
| 191407901 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA03407 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Regence Health Network Inc | 5698682557 | 24 |
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. Dori Lyn Wasmundt allows following entities to bill medicare on her behalf.
| Entity Name | Regence Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083613640
PECOS PAC ID: 5698682557
Enrollment ID: O20040105000813 |
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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. Dori Lyn Wasmundt 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 |
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Dori Lyn Wasmundt, PAC
2801 W 8th St,
Plainview, TX 79072-6737
Ph: (806) 293-8561 | Dori Lyn Wasmundt, PAC
125 W Park Ave,
Hereford, TX 79045-4201
Ph: (806) 364-7688 |
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