Douglas Raymond Lyon, MD is a medicare enrolled "Family Medicine" physician in Welches, Oregon. His current practice location is
24461 E Welches Rd, Welches, Oregon. You can reach out to his office (for appointments etc.) via phone at
(971) 333-0494.
Douglas Raymond Lyon is licensed to practice in Oregon (license number MD18316) 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 1700033925.
Physician's Profile
Full Name | Douglas Raymond Lyon |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 24461 E Welches Rd, Welches, 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: 1700033925
- Provider Enumeration Date: 08/19/2008
- Last Update Date: 08/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375726680
- Enrollment ID: I20110324000210
Medical Identifiers
Medical identifiers for Douglas Raymond Lyon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700033925 | NPI | - | NPPES |
150879 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 364110-1205 (Utah) | Secondary |
207Q00000X | Family Medicine | MD18316 (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. Douglas Raymond Lyon allows following entities to bill medicare on his behalf.
Entity Name | Multnomah County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609914787 PECOS PAC ID: 6608771787 Enrollment ID: O20031203000025 |
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Entity Name | Virginia Garcia Memorial Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992 |
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Entity Name | Neighborhood Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174820815 PECOS PAC ID: 8426227893 Enrollment ID: O20110802000211 |
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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. Douglas Raymond Lyon 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 |
Douglas Raymond Lyon, MD Po Box 729, Welches, OR 97067-0729 Ph: (971) 333-0494 | Douglas Raymond Lyon, MD 24461 E Welches Rd, Welches, OR 97067-7067 Ph: (971) 333-0494 |
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