| Deanna Rae Lyder, | |
|
6168 Low Rd, Lisbon, OH 44432-9347 | |
| (330) 360-1879 | |
| Not Available |
| Full Name | Deanna Rae Lyder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 6168 Low Rd, Lisbon, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245719806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 023435 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triad Health Services Llc | 9032367917 | 226 |
| Entity Name | Mahoning Valley Emergency Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869652 PECOS PAC ID: 5698758993 Enrollment ID: O20040609000114 |
| Entity Name | Mves Austintown Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972555944 PECOS PAC ID: 1355308875 Enrollment ID: O20041216000550 |
| Entity Name | Mves Boardman Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205888237 PECOS PAC ID: 4688694722 Enrollment ID: O20051202000794 |
| Entity Name | Triad Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanna Rae Lyder, 3499 Belmont Ave, Youngstown, OH 44505-1807 Ph: (330) 744-0221 | Deanna Rae Lyder, 6168 Low Rd, Lisbon, OH 44432-9347 Ph: (330) 360-1879 |
Katelyn Mcelhaney, PPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Market St, Lisbon, OH 44432 Phone: 330-424-9866 Fax: 330-424-7689 | |
Heather Mason, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7556 State Route 45 Ste B, Lisbon, OH 44432 Phone: 330-870-4127 Fax: 330-870-4139 | |
Jennifer Danielle Truex, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7880 Lincole Pl, Lisbon, OH 44432 Phone: 330-424-5686 | |
Kristen Nicole Garretson, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7880 Lincole Pl, Lisbon, OH 44432 Phone: 330-424-5686 Fax: 330-424-4012 | |
Ashleigh Noel, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 | |
Michelle Renee Howell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 N Market St Ste B, Lisbon, OH 44432 Phone: 330-870-4595 Fax: 330-870-4189 |