| Tommy W Lyons, CRNA | |
|
1250 S Washington St, Van Wert, OH 45891-2551 | |
| (419) 232-2866 | |
| (419) 232-2867 |
| Full Name | Tommy W Lyons |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1250 S Washington St, Van Wert, Ohio |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548257652 | NPI | - | NPPES |
| P00241523 | Other | OH | MEDICARE RAILROAD INDV. |
| 2495250 | Medicaid | OH | |
| 20290372400 | Other | OH | WORKMENS COMP |
| 000000373810 | Other | OH | ANTHEM BC/BS |
| 202903724 | Other | OH | MEDICAL MUTUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN271691 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA71515 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Van Wert County Hospital | Van wert, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Colleagues Inc | 8729011333 | 148 |
| Entity Name | Buckeye Anesthesia Services & Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225079270 PECOS PAC ID: 2668367376 Enrollment ID: O20040219001024 |
| Entity Name | Clinical Colleagues Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20070517000377 |
| Entity Name | The Endoscopy Center Of West Central Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1578745568 PECOS PAC ID: 8628130176 Enrollment ID: O20081218000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Tommy W Lyons, CRNA 140 Fox Rd, Suite 207, Van Wert, OH 45891-2475 Ph: (419) 232-2866 | Tommy W Lyons, CRNA 1250 S Washington St, Van Wert, OH 45891-2551 Ph: (419) 232-2866 |
Mr. David Michael Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7274 Us Route 224, Van Wert, OH 45891 Phone: 419-203-7675 |