Wyatt Lydolph, in Batesville, AR - Medicare Internal Medicine

Wyatt Lydolph, is a medicare enrolled "Internal Medicine" physician in Batesville, Arkansas. He went to University Of Mississippi School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice White River Health System Inc and his current practice location is 1710 Harrison St, Batesville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 262-1200.

Wyatt Lydolph is licensed to practice in Arkansas (license number E-14622) 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 1831505742.

Contact Information

	Wyatt Lydolph,
	1710 Harrison St, Batesville, AR 72501-7303
	(870) 262-1200
	Not Available

Map and Direction

Physician's Profile

Full Name	Wyatt Lydolph
Gender	Male
Speciality	Internal Medicine
Experience	10 Years
Location	1710 Harrison St, Batesville, Arkansas
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:

Wyatt Lydolph attended and graduated from University Of Mississippi School Of Medicine in 2014

NPI Data:

NPI Number: 1831505742
Provider Enumeration Date: 07/11/2014
Last Update Date: 09/30/2021

Medicare PECOS Information:

PECOS PAC ID: 6103181797
Enrollment ID: I20211006002629

Medical Identifiers

Medical identifiers for Wyatt Lydolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831505742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	T2826 (Mississippi)	Secondary
207R00000X	Internal Medicine	E-14622 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
White River Medical Center	Batesville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
White River Health System Inc	0143134270	151

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. Wyatt Lydolph allows following entities to bill medicare on his behalf.

Entity Name	White River Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410229 PECOS PAC ID: 0143134270 Enrollment ID: O20031203000615

Entity Name	White River Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831495423 PECOS PAC ID: 0143134270 Enrollment ID: O20110426000404

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. Wyatt Lydolph 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
Wyatt Lydolph, Po Box 2197, Batesville, AR 72503-2197 Ph: (870) 262-5545	Wyatt Lydolph, 1710 Harrison St, Batesville, AR 72501-7303 Ph: (870) 262-1200

Reviews and Comments

Internal Medicine Doctors in Batesville, AR

Robin C Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Virginia Dr, Batesville, AR 72501 Phone: 870-698-9747 Fax: 870-698-0301
Dr. Sarah Elizabeth Luebker, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 12 Hospital Cir Ste A, Batesville, AR 72501 Phone: 702-621-5008 Fax: 870-262-1506
Shahla Gul Naoman, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 Virginia Dr, Batesville, AR 72501 Phone: 870-262-1660 Fax: 870-262-1664
Atif Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1710 Harrison St, Batesville, AR 72501 Phone: 870-262-1750 Fax: 870-262-1754
Neelima K Gonugunta, M.D., Internal Medicine Medicare: Medicare Enrolled Practice Location: 3443 Harrison St, Batesville, AR 72501 Phone: 870-262-1510 Fax: 870-262-1516
Dr. Michael Brian Andryka, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1710 Harrison St, Batesville, AR 72501 Phone: 870-262-1200
Robert B Walton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 Hospital Cir, Batesville, AR 72501 Phone: 870-793-2223 Fax: 870-793-6513

Wyatt Lydolph, - Medicare Internal Medicine in Batesville, AR