William Buckley Lyman, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Chattanooga, Tennessee. His current practice location is
2108 E 3rd St Ste 200, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 267-0466.
William Buckley Lyman is licensed to practice in Tennessee (license number 65962) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104212711.
Physician's Profile
Full Name | William Buckley Lyman |
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Gender | Male |
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Speciality | Colon & Rectal Surgery |
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Location | 2108 E 3rd St Ste 200, Chattanooga, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104212711
- Provider Enumeration Date: 04/09/2015
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466857669
- Enrollment ID: I20220816001446
Medical Identifiers
Medical identifiers for William Buckley Lyman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104212711 | NPI | - | NPPES |
65962 | Other | TN | TN MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 210170 (North Carolina) | Secondary |
208600000X | Surgery | 65962 (Tennessee) | Secondary |
208C00000X | Colon & Rectal Surgery | 65962 (Tennessee) | Primary |
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. William Buckley Lyman allows following entities to bill medicare on his behalf.
Entity Name | University Surgical Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972520963 PECOS PAC ID: 0547242521 Enrollment ID: O20040603000488 |
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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. William Buckley Lyman 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 |
William Buckley Lyman, MD 979 E 3rd St Ste 300, Chattanooga, TN 37403-2187 Ph: (423) 267-0466 | William Buckley Lyman, MD 2108 E 3rd St Ste 200, Chattanooga, TN 37404-2624 Ph: (423) 267-0466 |
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