| Ricky Duane Lyerly, MD | |
|
364 White Oak St, Asheboro, NC 27203-5434 | |
| (336) 629-6565 | |
| (336) 626-5640 |
| Full Name | Ricky Duane Lyerly |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 364 White Oak St, Asheboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891796330 | NPI | - | NPPES |
| 89133N2 | Medicaid | NC | |
| 16-01203 | Other | NC | UNITED HEALTHCARE |
| 133N2 | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | (North Carolina) | Primary |
| Entity Name | Randolph Pulmonary & Sleep Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043357791 PECOS PAC ID: 2163482993 Enrollment ID: O20041015000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky Duane Lyerly, MD Po Box 1430, Asheboro, NC 27204-1430 Ph: (336) 629-6565 | Ricky Duane Lyerly, MD 364 White Oak St, Asheboro, NC 27203-5434 Ph: (336) 629-6565 |
Randall Scott Teague, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 364 White Oak St, Asheboro, NC 27203 Phone: 336-629-6565 Fax: 336-626-5640 | |
Dr. David Goodwin Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 364 White Oak St, Asheboro, NC 27203 Phone: 336-629-6565 Fax: 336-626-5640 |