Mr Robert Charles Lyell, MD | |
3798 Janes Road, Suite 9, Arcata, CA 95521-4745 | |
(707) 826-7080 | |
(707) 826-7119 |
Full Name | Mr Robert Charles Lyell |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 3798 Janes Road, Arcata, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487751749 | NPI | - | NPPES |
00G769110 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G76911 (California) | Primary |
Entity Name | North Pacific Cardiology Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093821837 PECOS PAC ID: 8426113341 Enrollment ID: O20090218000168 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Charles Lyell, MD 3798 Janes Road, Suite 9, Arcata, CA 95521-4745 Ph: (707) 826-7080 | Mr Robert Charles Lyell, MD 3798 Janes Road, Suite 9, Arcata, CA 95521-4745 Ph: (707) 826-7080 |
Alessandra Amy Elizabeth Ross, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3770 Janes Rd, Arcata, CA 95521 Phone: 707-826-7846 Fax: 707-826-7845 | |
Dr. Andrew C Kim, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Mad River Orthopaedics & Sports Medicine, 3798 Janes Road Suite 5, Arcata, CA 95521 Phone: 707-826-8244 Fax: 707-826-8252 | |
Grant Edward Walker, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3798 Janes Rd Ste 6, Arcata, CA 95521 Phone: 208-785-4665 Fax: 208-785-2199 |