Lydia M Teague, is a
Nurse Anesthetist, Certified Registered based in Morrilton, Arkansas. Lydia M Teague is licensed to practice in Arkansas (license number C00401) and her current practice location is
4 Hospital Dr, Morrilton, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 977-2300.
NPI number for Lydia M Teague is 1578585162 and her current mailing address is 4 Hospital Dr, Morrilton, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578585162.
Provider's Profile
| Full Name | Lydia M Teague |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 4 Hospital Dr, Morrilton, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578585162
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 04/20/2010
Medical Identifiers
Medical identifiers for Lydia M Teague such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578585162 | NPI | - | NPPES |
| 136786701 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R25489 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C00401 (Arkansas) | Primary |
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. Lydia M Teague is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lydia M Teague,
4 Hospital Dr,
Morrilton, AR 72110
Ph: (501) 977-2300 | Lydia M Teague,
4 Hospital Dr,
Morrilton, AR 72110
Ph: (501) 977-2300 |
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