Dr Clay Earl Lyddane, MD PHD in Wichita, KS

Dr Clay Earl Lyddane, MD PHD is a medicare enrolled "Urology" physician in Wichita, Kansas. He graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Urology. He is a member of the group practice Parkview Ancillary Services Corporation, Poudre Valley Medical Group Llc and his current practice location is 3311 E Murdock St, Wichita, Kansas. You can reach out to his office (for appointments etc.) via phone at (316) 689-9185.

Dr Clay Earl Lyddane is licensed to practice in Kansas (license number 04-35145) 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 1760641476.

Contact Information

	Dr Clay Earl Lyddane, MD PHD
	3311 E Murdock St, Wichita, KS 67208-3054
	(316) 689-9185
	(316) 689-9909

Map and Direction

Physician's Profile

Full Name	Dr Clay Earl Lyddane
Gender	Male
Speciality	Urology
Experience	20 Years
Location	3311 E Murdock St, Wichita, Kansas
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:

Dr Clay Earl Lyddane graduated from medical school in 2006

NPI Data:

NPI Number: 1760641476
Provider Enumeration Date: 06/06/2008
Last Update Date: 08/01/2025

Medicare PECOS Information:

PECOS PAC ID: 6901074459
Enrollment ID: I20240425000698

Medical Identifiers

Medical identifiers for Dr Clay Earl Lyddane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760641476	NPI	-	NPPES
200740730A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	DR.0072509 (Colorado)	Secondary
208800000X	Urology	04-35145 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Medical Center, Inc	Pueblo, CO	Hospital
Prowers Medical Center	Lamar, CO	Hospital
Southeast Colorado Hospital District	Springfield, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkview Ancillary Services Corporation	4385722511	273
Poudre Valley Medical Group Llc	9638208549	1992

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. Dr Clay Earl Lyddane allows following entities to bill medicare on his behalf.

Entity Name	Parkview Ancillary Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

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. Dr Clay Earl Lyddane 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
Dr Clay Earl Lyddane, MD PHD 3311 E Murdock St, Wichita, KS 67208-3054 Ph: (316) 689-9185	Dr Clay Earl Lyddane, MD PHD 3311 E Murdock St, Wichita, KS 67208-3054 Ph: (316) 689-9185

Reviews and Comments

Urology Doctors in Wichita, KS

Dr. Kahlil Nabil Saad, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2626 N Webb Rd, Wichita, KS 67226 Phone: 316-636-6100 Fax: 316-636-5813
Dr. Oral E Bass, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2626 N Webb Rd, Wichita, KS 67226 Phone: 316-636-6100 Fax: 316-636-5813
Dr. Christel Orphee Wambi- Kiesse, M.D. Urology Medicare: Medicare Enrolled Practice Location: 5500 E Kellogg Dr, Wichita, KS 67218 Phone: 316-685-2221
Dr. George F Zakharia, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2626 N Webb Rd, Wichita, KS 67226 Phone: 316-636-6100 Fax: 316-636-5813
William David Mcdonough, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 3311 E Murdock St, Wichita, KS 67208 Phone: 316-689-9234 Fax: 316-689-9909
Rodney G Handsfield, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1130 S Clifton Ave, Wichita, KS 67218 Phone: 316-260-4000 Fax: 316-260-1500
Surendra Kolla, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3311 E Murdock St, Wichita, KS 67208 Phone: 316-689-9185

Dr Clay Earl Lyddane, MD PHD - Medicare Urology in Wichita, KS