Jesse Lyon, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in La Mesa, California. He went to University Of California, Irvine, California College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
8080 Parkway Dr, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at
(619) 528-5000.
Jesse Lyon is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124393210.
Physician's Profile
Full Name | Jesse Lyon |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 12 Years |
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Location | 8080 Parkway Dr, La Mesa, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jesse Lyon attended and graduated from University Of California, Irvine, California College Of Medicine in 2012
NPI Data:
- NPI Number: 1124393210
- Provider Enumeration Date: 03/21/2012
- Last Update Date: 12/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082923057
- Enrollment ID: I20151014003219
Medical Identifiers
Medical identifiers for Jesse Lyon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124393210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A126832 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern California Permanente Medical Group | 6002729175 | 7951 |
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. Jesse Lyon allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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. Jesse Lyon 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 |
Jesse Lyon, MD 8080 Parkway Dr, La Mesa, CA 91942-2104 Ph: () - | Jesse Lyon, MD 8080 Parkway Dr, La Mesa, CA 91942-2104 Ph: (619) 528-5000 |
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