Lydia Sprouse, NP in Avon, CO - Medicare Nurse Practitioner

Lydia Sprouse, NP is a medicare enrolled "Nurse Practitioner - Family" in Avon, Colorado. Her current practice location is 850 West Beaver Creek Blvd, Avon, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 945-2840.

Lydia Sprouse is licensed to practice in Colorado (license number APN.0997076-NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891453395.

Contact Information

	Lydia Sprouse, NP
	850 West Beaver Creek Blvd, Avon, CO 81620-9201
	(970) 945-2840
	(970) 945-2893

Map and Direction

Provider's Profile

Full Name	Lydia Sprouse
Gender	Female
Speciality	Nurse Practitioner - Family
Location	850 West Beaver Creek Blvd, Avon, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891453395
Provider Enumeration Date: 12/01/2021
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 0042664294
Enrollment ID: I20230921004006

Medical Identifiers

Medical identifiers for Lydia Sprouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891453395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN.0997076-NP (Colorado)	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. Lydia Sprouse allows following entities to bill medicare on her behalf.

Entity Name	Mountain Family Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477552388 PECOS PAC ID: 3173413101 Enrollment ID: O20040316000175

Entity Name	Peaks Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528797065 PECOS PAC ID: 5395115687 Enrollment ID: O20230103000040

Entity Name	Peaks Urgent Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023747649 PECOS PAC ID: 3173998077 Enrollment ID: O20230406001358

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 Sprouse 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 Address	Practice Location Address
Lydia Sprouse, NP 325 Price Ln # X1255, Gypsum, CO 81637-5328 Ph: () -	Lydia Sprouse, NP 850 West Beaver Creek Blvd, Avon, CO 81620-9201 Ph: (970) 945-2840

Reviews and Comments

Nurse Practitioner Nurses in Avon, CO

Lucia C London, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 Chapel Place, Unit D101, Avon, CO 81620 Phone: 970-569-7715 Fax: 970-470-6697
Wilber L. Mendez, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 82 E Beaver Creek Blvd, Avon, CO 81620 Phone: 970-445-2821 Fax: 970-340-2093
Erica Nagy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Buck Creek Rd # 100, Avon, CO 81620 Phone: 970-949-6100
Rebecca Ruth Novak, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Rd Ste 100, Avon, CO 81620 Phone: 970-945-2840 Fax: 970-945-2893
Mrs. Andrea Joyce Tschannerl, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Rd Ste 100, Avon, CO 81620 Phone: 970-926-6340
Julie Tollefson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Rd Ste 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348
Rachel L Hickman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 West Beaver Creek Blvd, Avon, CO 81620 Phone: 970-945-2840 Fax: 970-945-2893

Lydia Sprouse, NP - Medicare Nurse Practitioner in Avon, CO