| Dane Phillip Lyman, MD | |
| 
					910 S 300 W, Blanding, UT 84511-3921  | |
| (435) 678-0700 | |
| (435) 678-0707 | 
| Full Name | Dane Phillip Lyman | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 910 S 300 W, Blanding, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588227797 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 11982449-1205 (Utah) | Primary | 
| Entity Name | Utah Navajo Health System Incorporated | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811991151 PECOS PAC ID: 1658275649 Enrollment ID: O20031121000239  | 
| Entity Name | Blue Mountain Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558513812 PECOS PAC ID: 0749344661 Enrollment ID: O20090203000527  | 
| Entity Name | Blue Mountain Hospital | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1558513812 PECOS PAC ID: 0749344661 Enrollment ID: O20100517000228  | 
| Entity Name | Blue Mountain Hospital | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1558513812 PECOS PAC ID: 0749344661 Enrollment ID: O20101115001089  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dane Phillip Lyman, MD Po Box 130, Montezuma Creek, UT 84534-0130 Ph: (435) 651-3700  | Dane Phillip Lyman, MD 910 S 300 W, Blanding, UT 84511-3921 Ph: (435) 678-0700  | 
Anna M Day, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 799 So 200 W, Blanding, UT 84511 Phone: 435-678-3601 Fax: 435-678-3610  | |
Dr. Mahana S Fisher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 N 400 W, Blanding, UT 84511 Phone: 435-678-2254 Fax: 435-678-2534  | |
Lloyd Val Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 S 300 W, Blanding, UT 84511 Phone: 435-678-3601 Fax: 435-678-3610  |