| Dr Roger M Lyon, MD | |
|
252 Mchenry St, Burlington, WI 53105-1828 | |
| (262) 767-6000 | |
| Not Available |
| Full Name | Dr Roger M Lyon |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 252 Mchenry St, Burlington, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518918366 | NPI | - | NPPES |
| 1518918366 | Medicaid | WI | |
| 31956500 | Medicaid | WI | |
| 002000125E | Other | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 34470 (Wisconsin) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger M Lyon, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Roger M Lyon, MD 252 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-6000 |
Dr. Thomas A Niccolai, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8256 Fax: 262-767-8212 | |
Dr. Anthony R Ricci, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-767-3020 | |
Dr. Michael C Dussault, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8256 Fax: 262-767-8212 | |
Dr. Sarah Marie Lamont, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-767-6020 Fax: 262-767-6023 | |
Paul A Sauer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-767-6020 |