Matthew Evan Lyon, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is
10767 Rose Ave Apt 8, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(213) 537-9780.
Matthew Evan Lyon is licensed to practice in California (license number LCSW81868) 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 1043529720.
Healthcare Provider's Profile
Full Name | Matthew Evan Lyon |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 10767 Rose Ave Apt 8, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043529720
- Provider Enumeration Date: 09/29/2010
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810360062
- Enrollment ID: I20230308003031
Medical Identifiers
Medical identifiers for Matthew Evan Lyon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043529720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW35084 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW81868 (California) | 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. Matthew Evan Lyon allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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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. Matthew Evan Lyon 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 |
Matthew Evan Lyon, 10767 Rose Ave Apt 8, Los Angeles, CA 90034-4400 Ph: () - | Matthew Evan Lyon, 10767 Rose Ave Apt 8, Los Angeles, CA 90034-4400 Ph: (213) 537-9780 |
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