Mrs Amy Lloyd Lysen, MS, CCC-SLP in Smithfield, NC - Medicare Speech-Language Pathologist Provider

Mrs Amy Lloyd Lysen, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Smithfield, North Carolina. Her current practice location is 447 Venture Dr Ste D, Smithfield, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 298-2331.

Mrs Amy Lloyd Lysen is licensed to practice in North Carolina (license number 4619) 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 1184749806.

Contact Information

	Mrs Amy Lloyd Lysen, MS, CCC-SLP
	447 Venture Dr Ste D, Smithfield, NC 27577-4765
	(910) 298-2331
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Amy Lloyd Lysen
Gender	Female
Speciality	Speech-language Pathologist
Location	447 Venture Dr Ste D, Smithfield, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184749806
Provider Enumeration Date: 03/20/2007
Last Update Date: 02/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9335512565
Enrollment ID: I20230308002161

Medical Identifiers

Medical identifiers for Mrs Amy Lloyd Lysen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184749806	NPI	-	NPPES
135J7	Other	NC	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4619 (North Carolina)	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 Amy Lloyd Lysen allows following entities to bill medicare on her behalf.

Provider Name	Coastal Speech Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750782462 PECOS PAC ID: 5092024323 Enrollment ID: O20151027001658

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 Amy Lloyd Lysen 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 Amy Lloyd Lysen, MS, CCC-SLP 210 E Horne St, Clayton, NC 27520-2444 Ph: (919) 614-0628	Mrs Amy Lloyd Lysen, MS, CCC-SLP 447 Venture Dr Ste D, Smithfield, NC 27577-4765 Ph: (910) 298-2331

Reviews and Comments

Speech-Language Pathologist in Smithfield, NC

Alexis Sanders, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1660 E Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-938-3824
Sara Spridgen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1660 E Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-938-3824
Isidora Nichols, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1660 E Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-938-3824
Zoe Lucrezia Nelson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 447 Venture Dr, Smithfield, NC 27577 Phone: 910-298-2331
Kayla Gallelli, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1660 E Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-938-3824
Miss Riley Marie Thomas, MS SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1660 E Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-938-3824
Dominique Haynes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1660 E Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-938-3824

Mrs Amy Lloyd Lysen, MS, CCC-SLP - Medicare Speech-Language Pathologist in Smithfield, NC