Eric Lydon, MD
Individual provider Active NPI Psychiatry Physician · Louisville, KY
NPI 1609873579 · NPPES record last updated Jan 15, 2020
Key facts
- NPI
- 1609873579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 39958 (KY)
- Practice address
- 4010 Dupont Circle Suite 300
Louisville, KY 40207 - Phone
- (502) 894-6066
- Fax
- (502) 425-3741
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Louisville School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Communicare Inc
Sensible Psychiatric Services PLLC
Practice addresses (Care Compare)
1311 N Dixie Ave
Elizabethtown, KY 42701-2621
Phone (270) 769-1304
4010 Dupont Cir
Suite 300
Louisville, KY 40207-4881
Phone (502) 894-8066
Hospital & facility affiliations
- Baptist Health Hardin
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040206000301 | KY | Practitioner - Psychiatry | 3072406669 | Reassigns benefits to 2 organizations |
| I20050307000489 | IN | Practitioner - Psychiatry | 3072406669 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01058495 | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communicare Inc | Current | Accepting new patients | |
| Sensible Psychiatric Services PLLC | Psychiatry | Current |
Accepting new patients |
| Wellstone Regional Hospital Acquisition LLC | Current |
Accepting new patients | |
| Wellstone Regional Hospital Acquisition LLC | Psychiatry | Current |
Accepting new patients |
| Baptist Healthcare System Inc | Past | Accepting new patients | |
| Tabler Clinical Services, PSC | Psychiatry | Past | Accepting new patients |
Locations
2700 Vissing Park Rd
Jeffersonvlle, IN 47130
Phone (812) 246-9809
1311 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0419
107 Cranes Roost Ct
Elizabethtown, KY 42701
Phone (270) 765-2650
4010 DuPont Cir
Ste 300
Louisville, KY 40207
Phone (502) 894-6066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01058495 | IN | |
| Psychiatry Physician | 2084P0800X | 39958 | KY | Yes |
Addresses
Primary practice location
4010 Dupont Circle Suite 300
Louisville, KY 40207
Mailing address
4010 Dupont Circle Suite 300
Louisville, KY 40207
Phone (502) 894-6066
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200339900A | Medicaid | IN |
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All providers in Louisville, KY · Psychiatry Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 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.