William Buckley Lyman, MD - Medicare Colon & Rectal Surgery in Charlotte, NC

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William Buckley Lyman, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Charlotte, North Carolina. His current practice location is 10650 Park Rd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 667-0575.

William Buckley Lyman is licensed to practice in Tennessee (license number 65962) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104212711.

Contact Information

William Buckley Lyman, MD
10650 Park Rd,
Charlotte, NC 28210-8538
(704) 667-0575
Not Available

Map and Direction




Physician's Profile

Full NameWilliam Buckley Lyman
GenderMale
SpecialityColon & Rectal Surgery
Location10650 Park Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104212711
  • Provider Enumeration Date: 04/09/2015
  • Last Update Date: 07/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466857669
  • Enrollment ID: I20241114000869

Medical Identifiers

Medical identifiers for William Buckley Lyman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104212711NPI-NPPES
65962OtherTNTN MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 210170 (North Carolina)Secondary
208600000XSurgery 65962 (Tennessee)Secondary
208C00000XColon & Rectal Surgery 65962 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. William Buckley Lyman allows following entities to bill medicare on his behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Buckley Lyman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
William Buckley Lyman, MD
10650 Park Rd,
Charlotte, NC 28210-8538

Ph: (704) 667-0575		William Buckley Lyman, MD
10650 Park Rd,
Charlotte, NC 28210-8538

Ph: (704) 667-0575

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.