Wyatt Lydolph, - Medicare Internal Medicine in Batesville, AR

Wyatt Lydolph, is a medicare enrolled "Internal Medicine" physician in Batesville, Arkansas. He went to University Of Mississippi School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice White River Health System Inc and his current practice location is 1710 Harrison St, Batesville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 262-1200.

Wyatt Lydolph is licensed to practice in Arkansas (license number E-14622) 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 1831505742.

Contact Information

Wyatt Lydolph,
1710 Harrison St,
Batesville, AR 72501-7303
(870) 262-1200
Not Available



Physician's Profile

Full NameWyatt Lydolph
GenderMale
SpecialityInternal Medicine
Experience10 Years
Location1710 Harrison St, Batesville, Arkansas
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:
  • Wyatt Lydolph attended and graduated from University Of Mississippi School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1831505742
  • Provider Enumeration Date: 07/11/2014
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103181797
  • Enrollment ID: I20211006002629

Medical Identifiers

Medical identifiers for Wyatt Lydolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831505742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology T2826 (Mississippi)Secondary
207R00000XInternal Medicine E-14622 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
White River Medical CenterBatesville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
White River Health System Inc0143134270150

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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. Wyatt Lydolph allows following entities to bill medicare on his behalf.
Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410229
PECOS PAC ID: 0143134270
Enrollment ID: O20031203000615

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Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578872297
PECOS PAC ID: 0143134270
Enrollment ID: O20110111000718

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Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831495423
PECOS PAC ID: 0143134270
Enrollment ID: O20110426000404

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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. Wyatt Lydolph 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
Wyatt Lydolph,
Po Box 2197,
Batesville, AR 72503-2197

Ph: (870) 262-5545
Wyatt Lydolph,
1710 Harrison St,
Batesville, AR 72501-7303

Ph: (870) 262-1200

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Internal Medicine Doctors in Batesville, AR

Robin C Williams, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 411 Virginia Dr, Batesville, AR 72501
Phone: 870-698-9747    Fax: 870-698-0301
Dr. Sarah Elizabeth Luebker, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 12 Hospital Cir Ste A, Batesville, AR 72501
Phone: 702-621-5008    Fax: 870-262-1506
Shahla Gul Naoman, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16 Hospital Cir, Batesville, AR 72501
Phone: 870-307-0369    Fax: 970-307-0461
Atif Khan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1710 Harrison St, Batesville, AR 72501
Phone: 870-262-1750    Fax: 870-262-1754
Dr. Michael Brian Andryka, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1710 Harrison St, Batesville, AR 72501
Phone: 870-262-1200    
Robert B Walton, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12 Hospital Cir, Batesville, AR 72501
Phone: 870-793-2223    Fax: 870-793-6513
Dr. Caleb Oster, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1710 Harrison St, Batesville, AR 72501
Phone: 870-262-1200    

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