Individual provider Active NPI

Marilea Liner, PA-C

  • Medical Physician Assistant
  • Morgan City, LA
National Provider Identifier
1649522210
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.200574 Issued in LA
Practice address
1216 N Victor II Blvd
Suite 500
Morgan City, LA 70380-1382
Phone
(985) 412-2020
Fax
(985) 259-8800
NPI assigned
Oct 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200574 LA Primary

Addresses

Primary practice location

1216 N Victor II Blvd
Suite 500
Morgan City, LA 70380-1382

Mailing address

1216 N Victor II Blvd
Suite 500
Morgan City, LA 70380-1382
Phone (985) 412-2020

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121012000605 LA Practitioner - Physician Assistant 5597914242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Morgan City LLCGroup PAC ID 3779894092, 4 clinicians

Practice addresses (Care Compare)

1216 N Victor II Blvd
Suite 500
Morgan City, LA 70380-1456
Phone (985) 412-2020

Hospital & facility affiliations

  • Ochsner St Mary Hospital, Morgan City, LA, CCN 190014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200574LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan City Radiology, LLC Past Accepting new patients

Organizations & group practices 2

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 1

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": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1649522210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 N VICTOR II BLVD",
            "address_2": "SUITE 500",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801382",
            "telephone_number": "985-412-2020",
            "fax_number": "985-259-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 N VICTOR II BLVD",
            "address_2": "SUITE 500",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801382",
            "telephone_number": "985-412-2020",
            "fax_number": "985-259-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINER",
        "first_name": "MARILEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

Verify at the official NPI Registry.