| Robert D Lyon, MD | |
|
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | |
| (262) 292-3151 | |
| Not Available |
| Full Name | Robert D Lyon |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 36 Years |
| Location | 10945 N Port Washington Rd Ste 201, Mequon, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457335614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 41880 (Wisconsin) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 41880 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Radiology Wisconsin Llc | 9537595533 | 72 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Entity Name | Wisconsin Radiology Specialists S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568446003 PECOS PAC ID: 2961314091 Enrollment ID: O20031105000585 |
| Entity Name | Premier Radiology Wisconsin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952951154 PECOS PAC ID: 9537595533 Enrollment ID: O20200211002818 |
| Entity Name | Precision Radiology - Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265156640 PECOS PAC ID: 6305218298 Enrollment ID: O20230201002800 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert D Lyon, MD 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 Ph: (262) 292-3151 | Robert D Lyon, MD 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 Ph: (262) 292-3151 |
Timothy L Workman, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
John Tomashek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
Eric M Dorn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 | |
Cynthia Rice, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 | |
Djerrick Cu Tan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
Benjamin Broghammer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 | |
Michael Braun, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 |