Dr Nastassja Bedford-lyon, MD is a medicare enrolled "Dermatology" physician in Fort Gratiot, Michigan. Her current practice location is
2950 Keewahdin Rd, Fort Gratiot, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 455-1600.
Dr Nastassja Bedford-lyon is licensed to practice in Michigan (license number 4301512223) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235627225.
Physician's Profile
Full Name | Dr Nastassja Bedford-lyon |
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Gender | Female |
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Speciality | Dermatology |
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Location | 2950 Keewahdin Rd, Fort Gratiot, Michigan |
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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: 1235627225
- Provider Enumeration Date: 04/25/2018
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244595353
- Enrollment ID: I20240802002708
Medical Identifiers
Medical identifiers for Dr Nastassja Bedford-lyon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235627225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 4301512223 (Michigan) | 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. Dr Nastassja Bedford-lyon allows following entities to bill medicare on her behalf.
Entity Name | S L Husain Hamzavi Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407943962 PECOS PAC ID: 7012976590 Enrollment ID: O20041008001194 |
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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. Dr Nastassja Bedford-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 |
Dr Nastassja Bedford-lyon, MD 43151 Dalcoma Dr Ste 4, Clinton Township, MI 48038-6306 Ph: (586) 286-8720 | Dr Nastassja Bedford-lyon, MD 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 Ph: (810) 455-1600 |
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