Ezra Lyon, MD - Medicare Family Practice in Waupaca, WI

Ezra Lyon, MD is a medicare enrolled "Family Medicine" physician in Waupaca, Wisconsin. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Thedacare Incorporated and his current practice location is 710 Riverside Dr, Waupaca, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 256-3000.

Ezra Lyon is licensed to practice in Wisconsin (license number 69896) 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 1669906004.

Contact Information

Ezra Lyon, MD
710 Riverside Dr,
Waupaca, WI 54981-1941
(715) 256-3000
(715) 256-3079



Physician's Profile

Full NameEzra Lyon
GenderMale
SpecialityFamily Practice
Experience7 Years
Location710 Riverside Dr, Waupaca, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ezra Lyon graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1669906004
  • Provider Enumeration Date: 04/12/2017
  • Last Update Date: 11/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547530388
  • Enrollment ID: I20200921000050

Medical Identifiers

Medical identifiers for Ezra Lyon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669906004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 69896 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare At HomeAppleton, WIHome health agency
Thedacare At HomeAppleton, WIHospice
Thedacare Medical Center-waupacaWaupaca, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare Incorporated1759294887493

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› Verified 2 days ago

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. Ezra Lyon allows following entities to bill medicare on his behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

News Archive

TSO3 reports third quarter 2009 financial results

TSO3 Inc. ("TSO3") posted revenues of $126,162 on the sales of consumables and service for the third quarter ended September 30, 2009. There were no new shipments of sterilizers in third quarter.

Pediatric pain experts discuss safety, efficacy of pain medications in children

Can we be certain that pain medications considered safe for adults, based on extensive clinical data and experience, are equally safe for use in young children? Pediatric pain experts discussed this question today in a panel session at the American Pain Society, www.ampainsoc.org, annual scientific meeting and agreed more short term and long-term clinical data are needed to provide assurances about the safety and efficacy of several pain medications in children.

Live imaging study reveals link between wound-associated inflammation and skin cancer risk

Researchers in the United Kingdom and Denmark have studied the "see-through" larvae of zebrafish to reveal how wound healing leads to skin cancer. Live imaging shows neutrophils, the protective inflammatory cells of the body's immune system, diverted from an induced wound to any nearby precancerous skin cells.

Humanitas Clinic treats first cancer patient using TrueBeam technology

A 54-year-old head & neck cancer patient has become the first person in Italy to be treated using a revolutionary new linear accelerator that can deliver radiotherapy twice as fast as conventional therapy machines. The Humanitas Clinic in Rozzano-Milan carried out the treatment last week, becoming only the third hospital in Europe to begin clinical treatments using TrueBeam from Varian Medical Systems.

Read more Medical News

› Verified 2 days ago

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. Ezra Lyon 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 AddressPractice Location Address
Ezra Lyon, MD
3 Neenah Ctr,
Neenah, WI 54956-3070

Ph: (715) 256-3000
Ezra Lyon, MD
710 Riverside Dr,
Waupaca, WI 54981-1941

Ph: (715) 256-3000

News Archive

TSO3 reports third quarter 2009 financial results

TSO3 Inc. ("TSO3") posted revenues of $126,162 on the sales of consumables and service for the third quarter ended September 30, 2009. There were no new shipments of sterilizers in third quarter.

Pediatric pain experts discuss safety, efficacy of pain medications in children

Can we be certain that pain medications considered safe for adults, based on extensive clinical data and experience, are equally safe for use in young children? Pediatric pain experts discussed this question today in a panel session at the American Pain Society, www.ampainsoc.org, annual scientific meeting and agreed more short term and long-term clinical data are needed to provide assurances about the safety and efficacy of several pain medications in children.

Live imaging study reveals link between wound-associated inflammation and skin cancer risk

Researchers in the United Kingdom and Denmark have studied the "see-through" larvae of zebrafish to reveal how wound healing leads to skin cancer. Live imaging shows neutrophils, the protective inflammatory cells of the body's immune system, diverted from an induced wound to any nearby precancerous skin cells.

Humanitas Clinic treats first cancer patient using TrueBeam technology

A 54-year-old head & neck cancer patient has become the first person in Italy to be treated using a revolutionary new linear accelerator that can deliver radiotherapy twice as fast as conventional therapy machines. The Humanitas Clinic in Rozzano-Milan carried out the treatment last week, becoming only the third hospital in Europe to begin clinical treatments using TrueBeam from Varian Medical Systems.

Read more News

› Verified 2 days ago


Family Medicine Doctors in Waupaca, WI

Dr. Gert Hasselhof, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: N2437 E Miner Dr, Waupaca, WI 54981
Phone: 608-475-0328    Fax: 715-256-5452
Ashley Tardieu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    Fax: 715-256-3079
Sarah C Durst, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1160    Fax: 915-756-3079
Dorrie Marie Happ, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3062    Fax: 715-256-3079
Molly Ann Szymanski, FNP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    
Amy Nicole Mandeville,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    
Patty Kile,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1160    

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