Lysle Baumgartner, MD is a
Psychiatry & Neurology - Psychosomatic Medicine physician based in Upper Arlington, Ohio. Lysle Baumgartner is licensed to practice in Ohio (license number 35-022954) and his current practice location is 3400 Kenny Rd, Upper Arlington, Ohio. He can be reached at his office (for appointments etc.) via phone at
(614) 457-8158.
NPI number for Lysle Baumgartner is 1164624508 and his current mailing address is 3400 Kenny Rd, Upper Arlington, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164624508.
Physician's Profile
| Full Name | Lysle Baumgartner |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychosomatic Medicine |
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| Location | 3400 Kenny Rd, Upper Arlington, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164624508
- Provider Enumeration Date: 06/05/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Lysle Baumgartner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164624508 | NPI | - | NPPES |
| 0449385 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 35-022954 (Ohio) | Primary |
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. Lysle Baumgartner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lysle Baumgartner, MD
3400 Kenny Rd,
Upper Arlington, OH 43221-1500
Ph: (614) 457-8158 | Lysle Baumgartner, MD
3400 Kenny Rd,
Upper Arlington, OH 43221-1500
Ph: (614) 457-8158 |
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