Lydia B O'bannon, PA-C in South Lake Tahoe, CA

Lydia B O'bannon, PA-C is a medicare enrolled "Physician Assistant" in South Lake Tahoe, California. Her current practice location is 2170 South Ave, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at (530) 543-5554.

Lydia B O'bannon is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770911620.

Contact Information

	Lydia B O'bannon, PA-C
	2170 South Ave, South Lake Tahoe, CA 96150-7026
	(530) 543-5554
	(530) 541-3016

Map and Direction

Provider's Profile

Full Name	Lydia B O'bannon
Gender	Female
Speciality
Experience	Years
Location	2170 South Ave, South Lake Tahoe, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lydia B O'bannon attended and graduated from in

NPI Data:

NPI Number: 1770911620
Provider Enumeration Date: 10/30/2013
Last Update Date: 06/25/2019

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Lydia B O'bannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770911620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Lydia B O'bannon 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
Lydia B O'bannon, PA-C 3001 Edwards Mill Rd, #200, Raleigh, NC 27612-5243 Ph: (919) 781-5600	Lydia B O'bannon, PA-C 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 543-5554

Reviews and Comments

Physician Assistant Nurses in South Lake Tahoe, CA

Cory T Hall, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1139 3rd St, South Lake Tahoe, CA 96150 Phone: 530-541-3100 Fax: 530-541-3016
Jacquelyn Noel Sartorius, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738
Catherine Gaehwiler, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2201 South Ave, Ste B, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738
Jessica Marie Starr, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1139 3rd St, South Lake Tahoe, CA 96150 Phone: 530-541-3000 Fax: 530-541-3016
Todd William Degiovanni, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738
Sara Robison, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2694 Henderson St, South Lake Tahoe, CA 96150 Phone: 775-338-9503
Eve-marie Welch, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2201 South Ave, Ste B, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738

Lydia B O'bannon, PA-C - Medicare in South Lake Tahoe, CA