Dr Mary Ellen Lyon, DDS is a
Dentist based in Sacarmento, California. Dr Mary Ellen Lyon is licensed to practice in California (license number 37696) and her current practice location is
7248 South Land Park Drive Suite 208, Sacarmento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 429-7437.
NPI number for Dr Mary Ellen Lyon is 1083788863 and her current mailing address is 7248 South Land Park Drive Suite 208, Sacarmento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083788863.
Healthcare Provider's Profile
| Full Name | Dr Mary Ellen Lyon |
|---|
| Gender | Female |
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| Speciality | Dentist |
|---|
| Location | 7248 South Land Park Drive Suite 208, Sacarmento, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083788863
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mary Ellen Lyon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083788863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 37696 (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. Dr Mary Ellen Lyon 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 |
|---|
Dr Mary Ellen Lyon, DDS
7248 South Land Park Drive Suite 208,
Sacarmento, CA 95831-3662
Ph: (916) 429-7437 | Dr Mary Ellen Lyon, DDS
7248 South Land Park Drive Suite 208,
Sacarmento, CA 95831-3662
Ph: (916) 429-7437 |
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