Lydia Mahan, is a
Student In An Organized Health Care Education/training Program based in Hanahan, South Carolina. Lydia Mahan is licensed to practice in South Carolina (license number ) and their current practice location is
1203 Jones St Apt A, Hanahan, South Carolina. This provider can be reached at their office (for appointments etc.) via phone at
(843) 812-9036.
NPI number for Lydia Mahan is 1447172713 and their current mailing address is 1203 Jones St Apt A, Hanahan, South Carolina. This provider
does not participate in medicare program and thus does not accept medicare assignments. Their NPI Number is 1447172713.
Provider's Profile
| Full Name | Lydia Mahan |
|---|
| Gender | |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1203 Jones St Apt A, Hanahan, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. This provider may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447172713
- Provider Enumeration Date: 07/28/2026
- Last Update Date: 07/28/2026
Medical Identifiers
Medical identifiers for Lydia Mahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447172713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (South Carolina) | 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 Mahan 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 Mahan, 1203 Jones St Apt A, Hanahan, SC 29410-2727 Ph: (843) 812-9036 | Lydia Mahan, 1203 Jones St Apt A, Hanahan, SC 29410-2727 Ph: (843) 812-9036 |
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