Wesley Corliss Lyons, PA-C
Individual provider Active NPI Physician Assistant · Vinton, IA
NPI 1346880697 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1346880697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 099516 (IA)
- Practice address
- 502 N 9TH Ave
Vinton, IA 52349-2254 - Phone
- (319) 472-6200
- NPI assigned
- Jan 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 29
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Medical Group II LLC
Medstar Heart Institute LLC
Practice addresses (Care Compare)
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000
Hospital & facility affiliations
- Medstar Washington Hospital Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200214000300 | IA | Practitioner - Physician Assistant | 0749616589 | Reassigns benefits to 2 organizations |
| I20241230000046 | DC | Practitioner - Physician Assistant | 0749616589 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Van Buren County Hospital | Physician Assistant | Current |
Accepting new patients |
| Van Buren County Hospital | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients | |
| Van Buren County Hospital | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
#1000
Washington, DC 20010
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
3007 Tilden St NW
Ste 5N
Washington, DC 20008
1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970
304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171
3301 Armar Dr
Marion, IA 52302
Phone (319) 451-2700
502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200
Interoperability endpoints
- wlyons662227@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 099516 | IA | Yes |
Addresses
Primary practice location
502 N 9TH Ave
Vinton, IA 52349-2254
Mailing address
725 Brook Ridge Ave
North Liberty, IA 52317-8086
Phone (319) 361-7259
Other practice location 1
2591 Holiday Rd
Iowa City, IA 52241-3039
Phone (319) 384-9010
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wlyons@vghinc.com | Direct |
Other providers in Vinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.