| Robert William Pedro Lyday, DO | |
|
560 W 465 N Ste 604, Providence, UT 84332-8006 | |
| (435) 753-1600 | |
| (435) 753-9521 |
| Full Name | Robert William Pedro Lyday |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 6 Years |
| Location | 560 W 465 N Ste 604, Providence, 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 | 7827850-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brigham City Community Hospital | Brigham city, UT | Hospital |
| Baylor Scott & White Medical Center - Temple | Temple, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2426 |
| Interwest Anesthesia Associates Llc | 0042293359 | 29 |
| Brigham Anesthesia, Llc | 9335108299 | 5 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert William Pedro Lyday, DO 560 W 465 N Ste 604, Providence, UT 84332-8006 Ph: (435) 753-1600 | Robert William Pedro Lyday, DO 560 W 465 N Ste 604, Providence, UT 84332-8006 Ph: (435) 753-1600 |
Cody Brad Mickelsen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 |
Jon R Robison, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521 |
Dr. Michael James Grover, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521 |
Joshua Tyler Christiansen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521 |
Jacob Robinson, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 |
Gregory J Allred, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 453-753-9521 |
Steven John Weber, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 |