Midzy Lysius, RN in North Syracuse, NY - Medicare Nurse Practitioner

Midzy Lysius, RN is a medicare enrolled "Nurse Practitioner - Family" in North Syracuse, New York. Her current practice location is 5496 E Taft Rd, North Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 552-6700.

Midzy Lysius is licensed to practice in New York (license number 343225) 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 1174995658.

Contact Information

	Midzy Lysius, RN
	5496 E Taft Rd, North Syracuse, NY 13212-3784
	(315) 552-6700
	Not Available

Map and Direction

Provider's Profile

Full Name	Midzy Lysius
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5496 E Taft Rd, North Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174995658
Provider Enumeration Date: 10/23/2015
Last Update Date: 08/14/2021

Medicare PECOS Information:

PECOS PAC ID: 5698025583
Enrollment ID: I20180914000921

Medical Identifiers

Medical identifiers for Midzy Lysius such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174995658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	685753-1 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	343225 (New York)	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. Midzy Lysius allows following entities to bill medicare on her behalf.

Entity Name	Kudos Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801303532 PECOS PAC ID: 4183962616 Enrollment ID: O20190208000192

Entity Name	Central New York Family Health Nurse Practitioner Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417622135 PECOS PAC ID: 6204225162 Enrollment ID: O20220419000554

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. Midzy Lysius 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
Midzy Lysius, RN 5701 E Circle Dr, 264 Ste 108, Cicero, NY 13039 Ph: (315) 876-5748	Midzy Lysius, RN 5496 E Taft Rd, North Syracuse, NY 13212-3784 Ph: (315) 552-6700

Reviews and Comments

Nurse Practitioner Nurses in North Syracuse, NY

Jennifer Cavallaro, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 792 N Main St Ste 100b, North Syracuse, NY 13212 Phone: 315-458-4623
Erin M Carroll, NP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 792 N Main St Ste 200, North Syracuse, NY 13212 Phone: 315-458-8700 Fax: 315-701-1075
Jennifer Lynnrushak Baldwin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 792 N Main St, North Syracuse, NY 13212 Phone: 315-452-4623
Ursula M Vaccaro, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5496 East Taft Road, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701
Zoryana Moreau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701
Jill M Agne, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5229 Witz Drive, North Syracuse, NY 13212 Phone: 315-701-9500
Krista Switzer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6701

Midzy Lysius, RN - Medicare Nurse Practitioner in North Syracuse, NY