Ricky Duane Lyerly, MD | |
364 White Oak St, Asheboro, NC 27203-5434 | |
(336) 629-6565 | |
(336) 626-5640 |
Full Name | Ricky Duane Lyerly |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 364 White Oak St, Asheboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891796330 | NPI | - | NPPES |
89133N2 | Medicaid | NC | |
16-01203 | Other | NC | UNITED HEALTHCARE |
133N2 | Other | NC | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | (North Carolina) | Primary |
Entity Name | Randolph Pulmonary & Sleep Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043357791 PECOS PAC ID: 2163482993 Enrollment ID: O20041015000072 |
Mailing Address | Practice Location Address |
---|---|
Ricky Duane Lyerly, MD Po Box 1430, Asheboro, NC 27204-1430 Ph: (336) 629-6565 | Ricky Duane Lyerly, MD 364 White Oak St, Asheboro, NC 27203-5434 Ph: (336) 629-6565 |
Randall Scott Teague, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 364 White Oak St, Asheboro, NC 27203 Phone: 336-629-6565 Fax: 336-626-5640 | |
Dr. David Goodwin Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 364 White Oak St, Asheboro, NC 27203 Phone: 336-629-6565 Fax: 336-626-5640 |