Ezra Lyon, MD in Waupaca, WI - Medicare Family Practice

Ezra Lyon, MD is a medicare enrolled "Family Medicine" physician in Waupaca, Wisconsin. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Thedacare Incorporated and his current practice location is 710 Riverside Dr, Waupaca, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 256-3000.

Ezra Lyon is licensed to practice in Wisconsin (license number 69896) 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 1669906004.

Contact Information

	Ezra Lyon, MD
	710 Riverside Dr, Waupaca, WI 54981-1941
	(715) 256-3000
	(715) 256-3079

Map and Direction

Physician's Profile

Full Name	Ezra Lyon
Gender	Male
Speciality	Family Practice
Experience	7 Years
Location	710 Riverside Dr, Waupaca, Wisconsin
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:

Ezra Lyon graduated from medical school in 2017

NPI Data:

NPI Number: 1669906004
Provider Enumeration Date: 04/12/2017
Last Update Date: 11/12/2021

Medicare PECOS Information:

PECOS PAC ID: 0547530388
Enrollment ID: I20200921000050

Medical Identifiers

Medical identifiers for Ezra Lyon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669906004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	69896 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare At Home	Appleton, WI	Home health agency
Thedacare At Home	Appleton, WI	Hospice
Thedacare Medical Center-waupaca	Waupaca, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare Incorporated	1759294887	493

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. Ezra Lyon allows following entities to bill medicare on his behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Ezra Lyon 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
Ezra Lyon, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (715) 256-3000	Ezra Lyon, MD 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 256-3000

Reviews and Comments

Family Medicine Doctors in Waupaca, WI

Dr. Gert Hasselhof, MD Family Medicine Medicare: Medicare Enrolled Practice Location: N2437 E Miner Dr, Waupaca, WI 54981 Phone: 608-475-0328 Fax: 715-256-5452
Ashley Tardieu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3079
Sarah C Durst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160 Fax: 915-756-3079
Dorrie Marie Happ, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3062 Fax: 715-256-3079
Molly Ann Szymanski, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000
Amy Nicole Mandeville, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000
Patty Kile, Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160

Ezra Lyon, MD - Medicare Family Practice in Waupaca, WI