Mr Dave Lyons, CSAC ICS is a
Counselor - Addiction (substance Use Disorder) based in Waukesha, Wisconsin. Mr Dave Lyons is licensed to practice in Wisconsin (license number 12052134) and his current practice location is
2422 North Grandview Blvd, Waukesha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 549-6600.
NPI number for Mr Dave Lyons is 1861606535 and his current mailing address is 2422 North Grandview Blvd, Waukesha, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861606535.
Healthcare Provider's Profile
| Full Name | Mr Dave Lyons |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 2422 North Grandview Blvd, Waukesha, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861606535
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Dave Lyons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861606535 | NPI | - | NPPES |
| 39176600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 1319132 (Wisconsin) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12052134 (Wisconsin) | Primary |
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 Dave Lyons is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Dave Lyons, CSAC ICS
2422 North Grandview Blvd,
Waukesha, WI 53188
Ph: (262) 549-6600 | Mr Dave Lyons, CSAC ICS
2422 North Grandview Blvd,
Waukesha, WI 53188
Ph: (262) 549-6600 |
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