| Lance K Dyess, MD | |
|
252 Larkin Rd Ste A, Elba, AL 36323-5102 | |
| (334) 897-2207 | |
| (334) 853-0128 |
| Full Name | Lance K Dyess |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 252 Larkin Rd Ste A, Elba, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912980269 | NPI | - | NPPES |
| 009918640 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00010790 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Troy Regional Medical Center | Troy, AL | Hospital |
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Mizell Memorial Hospital | Opp, AL | Hospital |
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Elba Nursing And Rehabilitation Center, Llc | Elba, AL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Troy Regional Physicians Inc | 1850587361 | 17 |
| Blissful Healthcare Llc | 1951643956 | 2 |
| Entity Name | Troy Regional Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003124421 PECOS PAC ID: 1850587361 Enrollment ID: O20101123000759 |
| Entity Name | Blissful Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417432030 PECOS PAC ID: 1951643956 Enrollment ID: O20191010002355 |
| Entity Name | Troy Hospital Health Care Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275840779 PECOS PAC ID: 1951436732 Enrollment ID: O20241204001662 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance K Dyess, MD 252 Larkin Rd Ste A, Elba, AL 36323-5102 Ph: (334) 897-2207 | Lance K Dyess, MD 252 Larkin Rd Ste A, Elba, AL 36323-5102 Ph: (334) 897-2207 |
Dylan Reese Mccollough, CRNP Family Medicine Medicare: Medicare Enrolled Practice Location: 918 Drayton Ave, Elba, AL 36323 Phone: 334-493-5713 Fax: 334-493-5750 |