Mr Kenneth Ray Lyman, FNP-BC in Rolla, MO - Medicare Nurse Practitioner

Mr Kenneth Ray Lyman, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Rolla, Missouri. His current practice location is 1050 W. 10th Street, Suite 300, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 364-9000.

Mr Kenneth Ray Lyman is licensed to practice in Missouri (license number 2010033190) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841447174.

Contact Information

	Mr Kenneth Ray Lyman, FNP-BC
	1050 W. 10th Street, Suite 300, Rolla, MO 65401
	(573) 364-9000
	(573) 426-3552

Map and Direction

Provider's Profile

Full Name	Mr Kenneth Ray Lyman
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1050 W. 10th Street, Rolla, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841447174
Provider Enumeration Date: 08/18/2008
Last Update Date: 03/27/2012

Medicare PECOS Information:

PECOS PAC ID: 0446314603
Enrollment ID: I20180509001617

Medical Identifiers

Medical identifiers for Mr Kenneth Ray Lyman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841447174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3491-033 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	2010033190 (Missouri)	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. Mr Kenneth Ray Lyman allows following entities to bill medicare on his behalf.

Entity Name	Public Hospital District No 1 Of Mason County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760568752 PECOS PAC ID: 0345139275 Enrollment ID: O20040310001481

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. Mr Kenneth Ray Lyman 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
Mr Kenneth Ray Lyman, FNP-BC 1050 W. 10th Street, Suite 300, Rolla, MO 65401 Ph: (573) 364-9000	Mr Kenneth Ray Lyman, FNP-BC 1050 W. 10th Street, Suite 300, Rolla, MO 65401 Ph: (573) 364-9000

Reviews and Comments

Nurse Practitioner Nurses in Rolla, MO

Mr. Steven R Ballard, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-308-1301 Fax: 573-202-2480
Ms. Candy Sadler, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-426-2214 Fax: 573-458-8316
Ms. Y'vonda Darlene Holmes, APRN, FNP, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401 Phone: 573-458-6326
Alexis West, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1060 S Bishop Ave, Rolla, MO 65401 Phone: 573-426-5900
Meredith Leigh Napierala, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-458-8899
Karene Marie Goodman, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 St Rt Cc, Rolla, MO 65401 Phone: 573-308-5044 Fax: 573-341-5300
Angela Christine Middleton, FNP-BC, CEN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899

Mr Kenneth Ray Lyman, FNP-BC - Medicare Nurse Practitioner in Rolla, MO