Lance F Yeoman, DO is a medicare enrolled "Dermatology" physician in Poplar Bluff, Missouri. His current practice location is
225 Physicians Park Ste 203, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 686-4750.
Lance F Yeoman is licensed to practice in Missouri (license number 2008021956) 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 1396722765.
Physician's Profile
| Full Name | Lance F Yeoman |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 225 Physicians Park Ste 203, Poplar Bluff, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396722765
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 02/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 6800882663
- Enrollment ID: I20090105000107
Medical Identifiers
Medical identifiers for Lance F Yeoman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396722765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 2008021956 (Missouri) | Primary |
| 207N00000X | Dermatology | 200700075 (North Carolina) | Secondary |
| 207N00000X | Dermatology | 30823021 (Wisconsin) | Secondary |
| 207N00000X | Dermatology | 01955 (Iowa) | Secondary |
| 207N00000X | Dermatology | 0102201530 (Virginia) | Secondary |
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. Lance F Yeoman allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Office Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043462591
PECOS PAC ID: 0244392009
Enrollment ID: O20090105000113 |
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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. Lance F Yeoman 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 |
|---|
Lance F Yeoman, DO
Po Box 699,
Poplar Bluff, MO 63902-0699
Ph: (573) 686-4750 | Lance F Yeoman, DO
225 Physicians Park Ste 203,
Poplar Bluff, MO 63901-3921
Ph: (573) 686-4750 |
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