Charles J Lilly Iii, MD is a
Psychiatry & Neurology - Psychiatry physician based in Penn Yan, New York. Charles J Lilly Iii is licensed to practice in New York (license number 221109) and his current practice location is 418 N Main St, Penn Yan, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 531-2292.
NPI number for Charles J Lilly Iii is 1639265721 and his current mailing address is 418 N Main St, Inpatient Behavorial Health, Penn Yan, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639265721.
Physician's Profile
| Full Name | Charles J Lilly Iii |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 418 N Main St, Penn Yan, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639265721
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 09/20/2007
Medical Identifiers
Medical identifiers for Charles J Lilly Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639265721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 221109 (New York) | 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. Charles J Lilly Iii 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 |
|---|
Charles J Lilly Iii, MD
418 N Main St, Inpatient Behavorial Health,
Penn Yan, NY 14527-1070
Ph: () - | Charles J Lilly Iii, MD
418 N Main St,
Penn Yan, NY 14527-1070
Ph: (315) 531-2292 |
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