Julie Diana Lyon, MD | |
190 E Bannock St, Boise, ID 83712-6241 | |
(208) 381-4100 | |
(208) 381-1665 |
Full Name | Julie Diana Lyon |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 28 Years |
Location | 190 E Bannock St, Boise, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285685891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | M7622 (Idaho) | Secondary |
207R00000X | Internal Medicine | M7622 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Jane De Chantal | Lincoln, NE | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Madonna Rehabilitation Hospital | 0446164081 | 52 |
Entity Name | Madonna Rehabilitation Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417045642 PECOS PAC ID: 0446164081 Enrollment ID: O20031118000079 |
Mailing Address | Practice Location Address |
---|---|
Julie Diana Lyon, MD 14820 E 4th Ave, Sullivan Park Care Center, Spokane Valley, WA 99216-2165 Ph: (509) 922-1644 | Julie Diana Lyon, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-4100 |
Dr. Jennifer A Hofstra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 757-446-8920 Fax: 757-446-5242 | |
Dr. James Robert Polk, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3104 | |
Dr. Michael Frederic Krug, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 Fax: 208-381-1873 | |
Derrel V Walker, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951 | |
Dr. Janat E. O'donnell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W. Fort St., # 111, Boise, ID 83702 Phone: 208-422-1325 Fax: 208-422-1319 | |
Carl L Durning, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6094 W Emerald St, Boise, ID 83704 Phone: 208-367-6575 Fax: 208-367-6597 | |
Dr. Christopher J Goulet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 |