Lydia B O'bannon, PA-C - Medicare in South Lake Tahoe, CA

Lydia B O'bannon, PA-C is a medicare enrolled "Physician Assistant" in South Lake Tahoe, California. Her current practice location is 2170 South Ave, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at (530) 543-5554.

Lydia B O'bannon is licensed to practice in * (Not Available) (license number ) 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 1770911620.

Contact Information

Lydia B O'bannon, PA-C
2170 South Ave,
South Lake Tahoe, CA 96150-7026
(530) 543-5554
(530) 541-3016

Map and Direction




Provider's Profile

Full NameLydia B O'bannon
GenderFemale
Speciality
Experience Years
Location2170 South Ave, South Lake Tahoe, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lydia B O'bannon attended and graduated from in
  NPI Data:
  • NPI Number: 1770911620
  • Provider Enumeration Date: 10/30/2013
  • Last Update Date: 06/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Lydia B O'bannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770911620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

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. Lydia B O'bannon 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
Lydia B O'bannon, PA-C
3001 Edwards Mill Rd, #200,
Raleigh, NC 27612-5243

Ph: (919) 781-5600
Lydia B O'bannon, PA-C
2170 South Ave,
South Lake Tahoe, CA 96150-7026

Ph: (530) 543-5554

Reviews and Comments


Physician Assistant Nurses in South Lake Tahoe, CA

Cory T Hall, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1139 3rd St, South Lake Tahoe, CA 96150
Phone: 530-541-3100    Fax: 530-541-3016
Jacquelyn Noel Sartorius, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5623    Fax: 530-541-5738
Catherine Gaehwiler, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2201 South Ave, Ste B, South Lake Tahoe, CA 96150
Phone: 530-543-5623    Fax: 530-541-5738
Jessica Marie Starr, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1139 3rd St, South Lake Tahoe, CA 96150
Phone: 530-541-3000    Fax: 530-541-3016
Todd William Degiovanni, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5623    Fax: 530-541-5738
Sara Robison,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2694 Henderson St, South Lake Tahoe, CA 96150
Phone: 775-338-9503    
Eve-marie Welch, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2201 South Ave, Ste B, South Lake Tahoe, CA 96150
Phone: 530-543-5623    Fax: 530-541-5738

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.