Lydia Vannatta, PA-C in Rock Island, IL - Medicare Physician Assistant

Lydia Vannatta, PA-C is a medicare enrolled "Physician Assistant" in Rock Island, Illinois. Her current practice location is 2701 17th St, Rock Island, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 779-5000.

Lydia Vannatta is licensed to practice in Iowa (license number 078202) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801277850.

Contact Information

	Lydia Vannatta, PA-C
	2701 17th St, Rock Island, IL 61201-5351
	(309) 779-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Lydia Vannatta
Gender	Female
Speciality	Physician Assistant
Location	2701 17th St, Rock Island, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801277850
Provider Enumeration Date: 06/16/2015
Last Update Date: 01/24/2023

Medicare PECOS Information:

PECOS PAC ID: 1557675253
Enrollment ID: I20150807014169

Medical Identifiers

Medical identifiers for Lydia Vannatta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801277850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	078202 (Iowa)	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 Vannatta 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 Vannatta, PA-C 2701 17th St, Rock Island, IL 61201-5351 Ph: () -	Lydia Vannatta, PA-C 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-5000

Reviews and Comments

Physician Assistant Nurses in Rock Island, IL

Logan Michael Barkley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2560 24th St Ste 201, Rock Island, IL 61201 Phone: 309-779-3111
Mary Jo Bloominger, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2550 24th St, Rock Island, IL 61201 Phone: 309-793-4223 Fax: 309-793-6276
Mr. Jonathan E Baldwin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 563-742-2054 Fax: 563-742-3505
Cheryl Lee Benson, P.A. - C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2525 24th Street, Suite 101, Rock Island, IL 61201 Phone: 309-788-7522 Fax: 309-788-7562
Mrs. Mackenzie Hopkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2560 24th St Ste 201, Rock Island, IL 61201 Phone: 309-779-3111
Darcy Jean Anderson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2570 24th St, Suite 124, Rock Island, IL 61201 Phone: 309-779-3670 Fax: 309-779-3675
Kendra R Kaufman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2750 11th St, Rock Island, IL 61201 Phone: 563-327-2100 Fax: 563-327-2102

Lydia Vannatta, PA-C - Medicare Physician Assistant in Rock Island, IL