Timothy Lyons, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Cameron Park, California. His current practice location is
3749 Sudbury Rd, Cameron Park, California. You can reach out to his office (for appointments etc.) via phone at
(209) 418-4822.
Timothy Lyons is licensed to practice in California (license number 34809) 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 1235683954.
Healthcare Provider's Profile
| Full Name | Timothy Lyons |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 3749 Sudbury Rd, Cameron Park, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235683954
- Provider Enumeration Date: 08/10/2016
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446798102
- Enrollment ID: I20240813004351
Medical Identifiers
Medical identifiers for Timothy Lyons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235683954 | NPI | - | NPPES |
| 1235683954 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 34809 (California) | 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. Timothy Lyons 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 |
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Timothy Lyons, PSYD
Po Box 2284,
Shingle Springs, CA 95682-2284
Ph: (209) 418-4822 | Timothy Lyons, PSYD
3749 Sudbury Rd,
Cameron Park, CA 95682-8613
Ph: (209) 418-4822 |
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