Mable Eulalee Lyons, in Philadelphia, PA - Medicare Nurse Practitioner

Mable Eulalee Lyons, is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 2311 Cottman Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 444-7470.

Mable Eulalee Lyons is licensed to practice in Pennsylvania (license number SP011007) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508143421.

Contact Information

	Mable Eulalee Lyons,
	2311 Cottman Ave, Philadelphia, PA 19149-1007
	(215) 444-7470
	Not Available

Map and Direction

Provider's Profile

Full Name	Mable Eulalee Lyons
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2311 Cottman Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508143421
Provider Enumeration Date: 11/06/2011
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 5799000956
Enrollment ID: I20150210000741

Medical Identifiers

Medical identifiers for Mable Eulalee Lyons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508143421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SF0001X	Clinical Nurse Specialist - Family Health	SP011007 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	SP011007 (Pennsylvania)	Primary

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. Mable Eulalee Lyons allows following entities to bill medicare on her behalf.

Entity Name	Virtua Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338

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. Mable Eulalee Lyons 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
Mable Eulalee Lyons, Po Box 746722, Atlanta, GA 30374-6722 Ph: (312) 733-9730	Mable Eulalee Lyons, 2311 Cottman Ave, Philadelphia, PA 19149-1007 Ph: (215) 444-7470

Reviews and Comments

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Mable Eulalee Lyons, - Medicare Nurse Practitioner in Philadelphia, PA