Mrs Autumn N Lydick, AGACNP-BC in Conroe, TX - Medicare Nurse Practitioner

Mrs Autumn N Lydick, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Conroe, Texas. Her current practice location is 504 Medical Center Blvd Ste 300, Conroe, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 523-0230.

Mrs Autumn N Lydick is licensed to practice in Texas (license number AP138586) 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 1932680105.

Contact Information

	Mrs Autumn N Lydick, AGACNP-BC
	504 Medical Center Blvd Ste 300, Conroe, TX 77304-2808
	(936) 523-0230
	(936) 647-2292

Map and Direction

Provider's Profile

Full Name	Mrs Autumn N Lydick
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	504 Medical Center Blvd Ste 300, Conroe, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932680105
Provider Enumeration Date: 08/27/2018
Last Update Date: 08/27/2018

Medicare PECOS Information:

PECOS PAC ID: 5597008508
Enrollment ID: I20190515000305

Medical Identifiers

Medical identifiers for Mrs Autumn N Lydick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932680105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	AP138586 (Texas)	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. Mrs Autumn N Lydick allows following entities to bill medicare on her behalf.

Entity Name	Hospital Docs Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871792309 PECOS PAC ID: 7517052822 Enrollment ID: O20071002000420

Entity Name	Tmh Physician Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100

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. Mrs Autumn N Lydick 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
Mrs Autumn N Lydick, AGACNP-BC 3619 Clear Falls Dr, Kingwood, TX 77339-1962 Ph: (409) 749-4193	Mrs Autumn N Lydick, AGACNP-BC 504 Medical Center Blvd Ste 300, Conroe, TX 77304-2808 Ph: (936) 523-0230

Reviews and Comments

Nurse Practitioner Nurses in Conroe, TX

Ashley Mcgrath, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Deerfield Meadow Dr, Conroe, TX 77384 Phone: 281-935-9718
Poonam Gupta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4714 Fm 1488 Rd Ste 132, Conroe, TX 77384 Phone: 877-868-2528
Jasmine Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Fm 1488 Rd, Conroe, TX 77384 Phone: 832-447-1367
Esele Uwagwe, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9297 Wahrenberger Rd, Conroe, TX 77304 Phone: 936-788-7770
Ashley Cox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Riverwood Ct Ste 105, Conroe, TX 77304 Phone: 936-760-4454 Fax: 936-760-4415
Sarah Allison, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 Windsor Lakes Blvd, Conroe, TX 77384 Phone: 281-938-8777
Danielle Lee Nielsen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1560 League Line Rd Apt 2205, Conroe, TX 77304 Phone: 936-525-0786

Mrs Autumn N Lydick, AGACNP-BC - Medicare Nurse Practitioner in Conroe, TX