| Demi Kendall Lyons, PA | |
|
539 E Prudhomme St, Opelousas, LA 70570-6499 | |
| (337) 948-3011 | |
| Not Available |
| Full Name | Demi Kendall Lyons |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 539 E Prudhomme St, Opelousas, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770216442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 332062 (Louisiana) | Primary |
| Entity Name | Opelousas Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477522704 PECOS PAC ID: 7719933829 Enrollment ID: O20050322000851 |
| Entity Name | Professional Emergency Medicine Management -- Lake Charles LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077 |
| Entity Name | Riverside Emergency Physician Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083107080 PECOS PAC ID: 0042568917 Enrollment ID: O20180809000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Demi Kendall Lyons, PA 104 Renel Dr, Breaux Bridge, LA 70517-6470 Ph: (337) 706-2994 | Demi Kendall Lyons, PA 539 E Prudhomme St, Opelousas, LA 70570-6499 Ph: (337) 948-3011 |
Emily Camille Colligan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-948-3011 |
Brittnei Picard I, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1233 Wayne Gilmore Cir Ste 250a, Opelousas, LA 70570 Phone: 337-948-8556 |
Emily Robertson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3935 Interstate 49 South Service Road, Opelousas, LA 70570 Phone: 337-315-2444 |
Jessica T Fussell, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 703 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-7192 Fax: 337-942-5940 |
John T Allgood Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4049 I-49 South Service Rd, Opelousas, LA 70570 Phone: 337-942-2674 Fax: 337-948-1858 |
Mrs. Gina V Readore, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3975 Interstate 49 S Service Rd, Ste 201, Opelousas, LA 70570 Phone: 337-407-2795 Fax: 337-407-2798 |
Caroline Saucier, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-948-3011 |