Dr Peter J Lydon, MD is a medicare enrolled "Surgery" physician in Stoughton, Massachusetts. His current practice location is
909 Sumner St, Stoughton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 427-2480.
Dr Peter J Lydon is licensed to practice in Massachusetts (license number 52243) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801874532.
Physician's Profile
| Full Name | Dr Peter J Lydon |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 909 Sumner St, Stoughton, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801874532
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 03/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002862943
- Enrollment ID: I20050324000050
Medical Identifiers
Medical identifiers for Dr Peter J Lydon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801874532 | NPI | - | NPPES |
| 6178936 | Medicaid | MA | |
| 8081330 | Other | MA | AETNA US HEALTHCARE |
| M19130 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 705041 | Other | MA | TUFTS HEALTH PLAN |
| 1702006 | Other | MA | UNITEDHEALTHCARE |
| 8613PCL | Other | MA | HARVARD PILGRIM HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 52243 (Massachusetts) | 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. Dr Peter J Lydon allows following entities to bill medicare on his behalf.
| Entity Name | Bmc Affiliated Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
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| Entity Name | Steward Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
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| Entity Name | Steward Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
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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. Dr Peter J Lydon 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 Peter J Lydon, MD 960 Massachusetts Ave Ste 2, Boston, MA 02118-2690 Ph: (617) 414-4505 | Dr Peter J Lydon, MD 909 Sumner St, Stoughton, MA 02072-3396 Ph: (508) 427-2480 |
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