Individual provider Active NPI

Phyllis Lynnette Mason, M.D.

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
National Provider Identifier
1487647285
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.11350R Issued in LA
Practice address
655 Bienville Cir
Natchitoches, LA 71457-5744
Phone
(318) 238-3652
Fax
(318) 238-3654
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.11350R LA Primary

Addresses

Primary practice location

655 Bienville Cir
Natchitoches, LA 71457-5744

Mailing address

PO Box 2475
Natchitoches, LA 71457-2475
Phone (318) 663-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000609 LA Practitioner - Obstetrics/Gynecology 3375578107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NRMC Physician Ipa IncGroup PAC ID 9234400300, 30 clinicians

Practice addresses (Care Compare)

627 Bienville Cir
Natchitoches, LA 71457-5744
Phone (318) 214-5773

Hospital & facility affiliations

  • Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.11350RLAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NRMC Physician Ipa Inc CurrentSince Sep 3, 2019 Accepting new patients
NRMC Physician Ipa Inc CurrentSince Sep 3, 2019 Accepting new patients
NRMC Physician Ipa Inc Obstetrics & Gynecology Past Accepting new patients
Natchitoches Parish Hospital Service District Past Accepting new patients

Locations

601 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

655 Bienville Cir
Natchitoches, LA 71457
Phone (318) 238-3652

740 Keyser Ave
Natchitoches, LA 71457
Phone (318) 238-5050

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

627 Bienville Cir
Natchitoches, LA 71457
Phone (318) 214-5773

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1487647285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572475",
            "telephone_number": "318-663-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 BIENVILLE CIR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575744",
            "telephone_number": "318-238-3652",
            "fax_number": "318-238-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "PHYLLIS",
        "middle_name": "LYNNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.11350R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.