Theophile Lyotard, MD is a medicare enrolled "Family Medicine" physician in Wellington, Colorado. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Banner Health Physicians Colorado Llc and his current practice location is
7859 6th St, Wellington, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 821-3200.
Theophile Lyotard is licensed to practice in Colorado (license number DR.0067727) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679989438.
Physician's Profile
Full Name | Theophile Lyotard |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 11 Years |
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Location | 7859 6th St, Wellington, Colorado |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Theophile Lyotard graduated from medical school in 2013
NPI Data:
- NPI Number: 1679989438
- Provider Enumeration Date: 07/01/2014
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486942349
- Enrollment ID: I20220414002172
Medical Identifiers
Medical identifiers for Theophile Lyotard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679989438 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 67276 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | DR.0067727 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Banner Health Physicians Colorado Llc | 8921273038 | 228 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theophile Lyotard allows following entities to bill medicare on his behalf.
Entity Name | Banner Health Physicians Colorado Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
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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. Theophile Lyotard is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theophile Lyotard, MD 6248 Buchanan St, Fort Collins, CO 80525-5812 Ph: () - | Theophile Lyotard, MD 7859 6th St, Wellington, CO 80549-5045 Ph: (970) 821-3200 |
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