| Robert William Pedro Lyday, DO | |
|
950 Medical Dr, Brigham City, UT 84302-4724 | |
| (435) 734-9471 | |
| Not Available |
| Full Name | Robert William Pedro Lyday |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 6 Years |
| Location | 950 Medical Dr, Brigham City, Utah |
| 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 |
|---|---|---|---|
| 1376170258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | TL8406 (Wyoming) | Secondary |
| 207L00000X | Anesthesiology | 787850-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brigham City Community Hospital | Brigham city, UT | Hospital |
| Star Valley Medical Center | Afton, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Lincoln County Hospital District | 4789580218 | 64 |
| Brigham Anesthesia, Llc | 9335108299 | 5 |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730132523 PECOS PAC ID: 4789580218 Enrollment ID: O20031208000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert William Pedro Lyday, DO 950 Medical Dr, Brigham City, UT 84302-4724 Ph: (435) 734-9471 | Robert William Pedro Lyday, DO 950 Medical Dr, Brigham City, UT 84302-4724 Ph: (435) 734-9471 |
David G Hess, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 950 Medical Dr, Brigham City, UT 84302 Phone: 800-594-6399 Fax: 801-733-5618 | |
Mr. Joel D Gardner, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 950 S Medical Drive, Brigham City, UT 84302 Phone: 435-734-9471 Fax: 770-701-6674 |