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Lucetta Lynne Lyford, PA-C

NPI 1396749800ActiveIndividual· Physician Assistant· Portage, MI

Opted out of Medicare from July 2010 to July 2028. Physician Assistant (PA-C) in Portage, Michigan, licensed in MI, with an NPI issued in June 2005.

Overview

NPI1396749800
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJun 13, 2005
Last updated in NPPESAug 7, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X5601003467MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jul 1, 2010 – Jul 1, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Portage

All 54 physician assistants in Portage · All physician assistants in Michigan