Mr Thomas Alston Lyons, MD | |
West Pavillon 2nd Floor 130 2nd Street, The Neuroscience Group Of Ne Wi, Neenah, WI 54956-2883 | |
(920) 725-9373 | |
(920) 720-7392 |
Full Name | Mr Thomas Alston Lyons |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | West Pavillon 2nd Floor 130 2nd Street, Neenah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245272442 | NPI | - | NPPES |
31761000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 32805 (Wisconsin) | Primary |
Entity Name | The Neuroscience Group Of Northeast Wisconsin Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578516803 PECOS PAC ID: 6204740186 Enrollment ID: O20031114000506 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Alston Lyons, MD West Pavillon 2nd Floor 130 2nd Street, The Neuroscience Group Of Ne Wi, Neenah, WI 54956-2883 Ph: (920) 725-9373 | Mr Thomas Alston Lyons, MD West Pavillon 2nd Floor 130 2nd Street, The Neuroscience Group Of Ne Wi, Neenah, WI 54956-2883 Ph: (920) 725-9373 |
Mr. Randall Roy Johnson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mr. Philip Andrew Yazbak, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mr. Alexander Todd Hawkins, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 800-201-1194 Fax: 920-720-7392 | |
Mr. Sumon Bhattacharjee, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Evan M Krueger, DO Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-729-7687 |