DR. LYDIA J DENNIS DO
NPI 1083724546
Family Medicine in Yukon, OK
About Dr. Lydia J Dennis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LYDIA J DENNIS DO (NPI 1083724546) is an individual family medicine provider in Yukon, Oklahoma, licensed in Oklahoma (4514) and active in the NPI registry since August 2006. She has opted out of Medicare through April 19, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Lydia J Dennis Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 19, 2019 through April 19, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73099 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
YUKON, OK 73099
YUKON, OK 73099
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lydia Dennis's NPI number?
The NPI number for Lydia Dennis is 1083724546. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Lydia Dennis located?
Lydia Dennis practices at 520 S Mustang Rd, Yukon, OK 73099. The listed phone number is (405) 936-5910.
What is Lydia Dennis's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lydia Dennis enrolled in Medicare?
No. Lydia Dennis has opted out of Medicare through April 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Lydia Dennis was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Lydia J Dennis, DO · NPI 1083724546
Family Medicine physician in Yukon, Oklahoma. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1083724546 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4514 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 520 S MUSTANG RD, Yukon, OK 73099-6737
- **Phone:** (405) 936-5910 · **Fax:** (405) 577-2605
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 19, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** April 28, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1083724546) · Data from the CMS NPPES public registry.