Lisa Douglass Lystad, MD | |
23250 Chagrin Blvd, Bld 5 Ste 440, Beachwood, OH 44122 | |
(216) 514-1864 | |
(216) 514-1867 |
Full Name | Lisa Douglass Lystad |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 37 Years |
Location | 23250 Chagrin Blvd, Beachwood, Ohio |
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 |
---|---|---|---|
1023089232 | NPI | - | NPPES |
0884593 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 35061509L (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cleveland Clinic | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cleveland Clinic Foundation | 1850203555 | 5680 |
Entity Name | The Cleveland Clinic Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
---|---|
Lisa Douglass Lystad, MD 23250 Chagrin Blvd #5, Bldg #5 Suite 440, Beachwood, OH 44122 Ph: (216) 514-1864 | Lisa Douglass Lystad, MD 23250 Chagrin Blvd, Bld 5 Ste 440, Beachwood, OH 44122 Ph: (216) 514-1864 |
Dr. Shawn Ashwin Lewis, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 24075 Commerce Park, Beachwood, OH 44122 Phone: 216-831-5704 Fax: 216-831-1959 | |
David J Mitchell, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 24755 Chagrin Blvd, Suite 345, Beachwood, OH 44122 Phone: 216-297-3230 Fax: 216-342-5290 | |
Michael A Novak, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122 Phone: 216-831-5700 Fax: 216-839-4905 | |
Stephen Ross Bernie, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 24300 Chagrin Blvd, Suite 210, Beachwood, OH 44122 Phone: 216-454-0009 Fax: 216-991-5190 | |
Dr. Harrison Dean Sciulli, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 24075 Commerce Park, Beachwood, OH 44122 Phone: 216-831-5700 | |
Lediana Goduni, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 24075 Commerce Park, Beachwood, OH 44122 Phone: 216-831-5700 Fax: 216-839-4905 |