Dr Clay Earl Lyddane, MD PHD | |
3311 E Murdock St, Wichita, KS 67208-3054 | |
(316) 689-9185 | |
(316) 689-9909 |
Full Name | Dr Clay Earl Lyddane |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 18 Years |
Location | 3311 E Murdock St, Wichita, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760641476 | NPI | - | NPPES |
200740730A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 04-35145 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Via Christi Hospital-wichita | Wichita, KS | Hospital |
Parkview Medical Center, Inc | Pueblo, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Medical Group Via Christi, Pa | 2961314497 | 167 |
Parkview Ancillary Services Corporation | 4385722511 | 265 |
Entity Name | Ascension Medical Group Via Christi, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063453991 PECOS PAC ID: 2961314497 Enrollment ID: O20031104000089 |
Entity Name | Kingman County Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770785362 PECOS PAC ID: 0941266852 Enrollment ID: O20041202000643 |
Mailing Address | Practice Location Address |
---|---|
Dr Clay Earl Lyddane, MD PHD 3311 E Murdock St, Wichita, KS 67208-3054 Ph: (316) 689-9185 | Dr Clay Earl Lyddane, MD PHD 3311 E Murdock St, Wichita, KS 67208-3054 Ph: (316) 689-9185 |
Dr. Oral E Bass, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2626 N Webb Rd, Wichita, KS 67226 Phone: 316-636-6100 Fax: 316-636-5813 | |
Dr. Christel Orphee Wambi- Kiesse, M.D. Urology Medicare: Medicare Enrolled Practice Location: 5500 E Kellogg Dr, Wichita, KS 67218 Phone: 316-685-2221 | |
Dr. George F Zakharia, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2626 N Webb Rd, Wichita, KS 67226 Phone: 316-636-6100 Fax: 316-636-5813 | |
William David Mcdonough, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 3311 E Murdock St, Wichita, KS 67208 Phone: 316-689-9234 Fax: 316-689-9909 | |
Rodney G Handsfield, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1130 S Clifton Ave, Wichita, KS 67218 Phone: 316-260-4000 Fax: 316-260-1500 | |
Surendra Kolla, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3311 E Murdock St, Wichita, KS 67208 Phone: 316-689-9185 | |
Gregory F Byrd, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2626 N Webb Rd, Wichita, KS 67226 Phone: 316-636-6100 Fax: 316-636-5813 |