Dr Kenneth M Lyssy Jr Md - Medicare Primary Care in San Antonio, TX

Dr Kenneth M Lyssy Jr Md is a medicare enrolled primary clinic (Family Medicine) in San Antonio, Texas. The current practice location for Dr Kenneth M Lyssy Jr Md is 6100 Bandera Rd, Suite 403, San Antonio, Texas. For appointments, you can reach them via phone at (210) 256-9500. The mailing address for Dr Kenneth M Lyssy Jr Md is 6100 Bandera, # 403, San Antonio, Texas and phone number is (210) 256-9500.

Dr Kenneth M Lyssy Jr Md is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205039559. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (210) 256-9500.

Contact Information

Dr Kenneth M Lyssy Jr Md
6100 Bandera Rd
Suite 403
San Antonio
TX 78238-1652
(210) 256-9500
(210) 256-8720

Map and Direction


Primary Care Clinic Profile

Full NameDr Kenneth M Lyssy Jr Md
SpecialityFamily Medicine
Location6100 Bandera Rd, San Antonio, Texas
Authorized Official Name and PositionMelissa Souhrada (OFFICE MANAGER)
Authorized Official Contact2102569500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth M Lyssy Jr Md
6100 Bandera
# 403
San Antonio
TX 78238-1653

Ph: (210) 256-9500
Dr Kenneth M Lyssy Jr Md
6100 Bandera Rd
Suite 403
San Antonio
TX 78238-1652

Ph: (210) 256-9500

NPI Details:

NPI Number1205039559
Provider Enumeration Date06/06/2007
Last Update Date07/02/2008

Medicare PECOS Information:

Medicare PECOS PAC ID8426127150
Medicare Enrollment IDO20080520000776

Medical Identifiers

Medical identifiers for Dr Kenneth M Lyssy Jr Md such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205039559NPI-NPPES
00Z062OtherTXMEDICARE INDIVIDUAL PTAN
00Z062OtherTXMEDICARE GROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dr Kenneth M Lyssy Jr Md acts as a billing entity for following providers:
Provider NameKenneth M Lyssy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194718361
PECOS PAC ID: 4981773611
Enrollment ID: I20080520000766

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.