Timothy Robert Lyman, MA, LADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Crown Point, New York. His current practice location is
631 Hogback Rd, Crown Point, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 570-1097.
Timothy Robert Lyman is licensed to practice in Vermont (license number 151.0125941) 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 1932671096.
Healthcare Provider's Profile
Full Name | Timothy Robert Lyman |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 631 Hogback Rd, Crown Point, New York |
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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: 1932671096
- Provider Enumeration Date: 12/28/2018
- Last Update Date: 12/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 0840636619
- Enrollment ID: I20240314003652
Medical Identifiers
Medical identifiers for Timothy Robert Lyman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932671096 | NPI | - | NPPES |
151.0125941 | Other | VT | OFFICE OF PROFESSIONAL REGULATION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 151.0125941 (Vermont) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 151.0125941 (Vermont) | 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 Robert Lyman 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 |
Timothy Robert Lyman, MA, LADC 631 Hogback Rd, Crown Point, NY 12928-1815 Ph: (518) 570-1097 | Timothy Robert Lyman, MA, LADC 631 Hogback Rd, Crown Point, NY 12928-1815 Ph: (518) 570-1097 |
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