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

Ezra Lyon, MD is a medicare enrolled "Family Medicine" physician in Wausau, Wisconsin. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Primary Connection Health Care, Inc. and his current practice location is 1810 N 2nd St, Wausau, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 848-4884.

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
	1810 N 2nd St, Wausau, WI 54403-3492
	(715) 848-4884
	(715) 845-5385

Map and Direction

Physician's Profile

Full Name	Ezra Lyon
Gender	Male
Speciality	Family Practice
Experience	9 Years
Location	1810 N 2nd St, Wausau, 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: 07/10/2026

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
207VX0000X	Obstetrics & Gynecology - Obstetrics	69896 (Wisconsin)	Secondary
207Q00000X	Family Medicine	69896 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aspirus Wausau Hospital	Wausau, WI	Hospital
Thedacare Medical Center-waupaca	Waupaca, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Primary Connection Health Care, Inc.	3870577935	11

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 1810 N 2nd St, Wausau, WI 54403-3492 Ph: (715) 848-4884	Ezra Lyon, MD 1810 N 2nd St, Wausau, WI 54403-3492 Ph: (715) 848-4884

Reviews and Comments

Family Medicine Doctors in Wausau, WI

Melanie A Hellrood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2720 Plaza Dr Ste 1300, Wausau, WI 54401 Phone: 715-847-2630
Dr. Jonathan Joseph Cotter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3110 Glendale Ave, Wausau, WI 54401 Phone: 715-845-8891 Fax: 715-845-8891
Lindsey Sippl, AGPCNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1111 Westwood Dr, Wausau, WI 54401 Phone: 715-952-1029 Fax: 715-304-3682
Adam G Clements, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 Wind Ridge Dr, Wausau, WI 54401 Phone: 715-675-3391 Fax: 715-675-4253
Lisa Grill Dodson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2720 Plaza Dr, Suite 1100, Wausau, WI 54401 Phone: 715-847-2472
John F Webb, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3434
Quang Cao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 Wind Ridge Dr, Wausau, WI 54401 Phone: 715-675-3391 Fax: 715-675-4253

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