Shaunna M Lyon, MD | |
N2950 State Road 67, Lake Geneva, WI 53147-2655 | |
(262) 245-0535 | |
(262) 245-2248 |
Full Name | Shaunna M Lyon |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | N2950 State Road 67, Lake Geneva, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891904546 | NPI | - | NPPES |
LYONSHA | Other | WI | MERCYCARE INSURANCE |
1891904546 | Medicaid | WI | |
54309 | Other | IA | WELLMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R-7249 (Iowa) | Secondary |
208000000X | Pediatrics | 37206 (Iowa) | Secondary |
208000000X | Pediatrics | 55298-20 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Shaunna M Lyon, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 | Shaunna M Lyon, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 |
Dr. Jake S Vacarella, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Shirley M Potsch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248 | |
Lora A Nerland, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Joseph P. Klawitter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-2230 Fax: 262-245-2248 | |
Dr. John E Frandolig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: W3320 S Lakeshore Dr, Lake Geneva, WI 53147 Phone: 262-248-9606 |