DR. TAMARA L LYDAY DO
NPI 1891903415
Family Medicine in North Fond Du Lac, WI
About Dr. Tamara L Lyday Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TAMARA L LYDAY DO (NPI 1891903415) is an individual family medicine provider in North Fond Du Lac, Wisconsin, licensed in Wisconsin (48503) and active in the NPI registry since May 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. Tamara L Lyday 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 January 1, 2022 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54937 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH FOND DU LAC, WI 54937
NORTH FOND DU LAC, WI 54937
NORTH FOND DU LAC, WI 54937
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 Tamara Lyday's NPI number?
The NPI number for Tamara Lyday is 1891903415. It was assigned to this individual provider in the NPPES registry on May 18, 2007.
Where is Tamara Lyday located?
Tamara Lyday practices at 700 Park Ridge Ln, North Fond Du Lac, WI 54937. The listed phone number is (920) 926-7800.
What is Tamara Lyday's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tamara Lyday enrolled in Medicare?
No. Tamara Lyday has opted out of Medicare through January 1, 2028. 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 Tamara Lyday was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Tamara L Lyday, DO · NPI 1891903415
Family Medicine physician in North Fond Du Lac, Wisconsin. Individual provider, active in the CMS NPPES registry since May 18, 2007.
## Identity
- **NPI:** 1891903415 (Entity type: Individual)
- **Enumerated:** May 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 48503 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 PARK RIDGE LN, North Fond Du Lac, WI 54937-1385
- **Phone:** (920) 926-7800 · **Fax:** (920) 496-4705
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 100004109 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1891903415) · Data from the CMS NPPES public registry.