Robert Josh Lydon, is a medicare enrolled "Social Worker - Clinical" provider in Roseburg, Oregon. His current practice location is
272 Nw Medical Loop Ste E, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 900-4285.
Robert Josh Lydon is licensed to practice in Oregon (license number L7631) 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 1407137235.
Healthcare Provider's Profile
Full Name | Robert Josh Lydon |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 272 Nw Medical Loop Ste E, Roseburg, Oregon |
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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: 1407137235
- Provider Enumeration Date: 09/07/2011
- Last Update Date: 06/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 4688935596
- Enrollment ID: I20180309000222
Medical Identifiers
Medical identifiers for Robert Josh Lydon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407137235 | NPI | - | NPPES |
500712185 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | L7631 (Oregon) | 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. Robert Josh Lydon allows following entities to bill medicare on his behalf.
Entity Name | Adapt |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720010549 PECOS PAC ID: 4587662887 Enrollment ID: O20061121000327 |
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Entity Name | Roseburg Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538665013 PECOS PAC ID: 6608109475 Enrollment ID: O20190610002722 |
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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. Robert Josh Lydon 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 |
Robert Josh Lydon, 272 Nw Medical Loop Ste E, Roseburg, OR 97471-5545 Ph: (541) 900-4285 | Robert Josh Lydon, 272 Nw Medical Loop Ste E, Roseburg, OR 97471-5545 Ph: (541) 900-4285 |
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