Indre Lithyouvong, PA-C is a medicare enrolled "Physician Assistant" physician in Lynchburg, Virginia. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Blue Ridge E N T And P S Inc and her current practice location is
2321 Atherholt Rd, Lynchburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 947-3993.
Indre Lithyouvong is licensed to practice in Virginia (license number 0110-005957) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790295715.
Physician's Profile
| Full Name | Indre Lithyouvong |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 2321 Atherholt Rd, Lynchburg, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Indre Lithyouvong graduated from medical school in 2017
NPI Data:
- NPI Number: 1790295715
- Provider Enumeration Date: 10/04/2017
- Last Update Date: 10/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 0547528507
- Enrollment ID: I20171220001374
Medical Identifiers
Medical identifiers for Indre Lithyouvong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790295715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 0110-005957 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110-005957 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Blue Ridge E N T And P S Inc | 5698872778 | 9 |
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. Indre Lithyouvong 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 |
|---|
Indre Lithyouvong, PA-C
190 Crystal Ln,
Evington, VA 24550-3724
Ph: (720) 984-5995 | Indre Lithyouvong, PA-C
2321 Atherholt Rd,
Lynchburg, VA 24501-2113
Ph: (434) 947-3993 |
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