Jonathan Lyons, is a medicare enrolled "Nurse Practitioner - Family" in Watauga, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southeastern Physician Services Pc and his current practice location is
120 Hammonds Rd, Watauga, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 213-0495.
Jonathan Lyons is licensed to practice in Tennessee (license number 27198) 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 1851923718.
Provider's Profile
| Full Name | Jonathan Lyons |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 120 Hammonds Rd, Watauga, Tennessee |
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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. |
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Medical Education and Training:
- Jonathan Lyons attended and graduated from East Tennessee State University Quillen College Of Medicine in 2015
NPI Data:
- NPI Number: 1851923718
- Provider Enumeration Date: 02/10/2020
- Last Update Date: 02/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 7911311832
- Enrollment ID: I20210203002875
Medical Identifiers
Medical identifiers for Jonathan Lyons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851923718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 27198 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeastern Physician Services Pc | 0042307852 | 499 |
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. Jonathan Lyons allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571 |
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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. Jonathan Lyons 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 |
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Jonathan Lyons,
120 Hammonds Rd,
Watauga, TN 37694-3061
Ph: (423) 213-0495 | Jonathan Lyons,
120 Hammonds Rd,
Watauga, TN 37694-3061
Ph: (423) 213-0495 |
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