Dr Austin Lyle Parker, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Kings Bay, Georgia. His current practice location is
881 Uss James Madison Rd, Nssc Undersea Medical Department, Kings Bay, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 573-2995.
Dr Austin Lyle Parker is licensed to practice in Virginia (license number 0101234675) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376513796.
Physician's Profile
| Full Name | Dr Austin Lyle Parker |
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| Gender | Male |
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| Speciality | Internal Medicine - Nephrology |
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| Location | 881 Uss James Madison Rd, Kings Bay, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376513796
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 09/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 3173705845
- Enrollment ID: I20240805000771
Medical Identifiers
Medical identifiers for Dr Austin Lyle Parker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376513796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 0101234675 (Virginia) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 0101234675 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Austin Lyle Parker allows following entities to bill medicare on his behalf.
| Entity Name | Tidewater Kidney Specialists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780624627
PECOS PAC ID: 6507852662
Enrollment ID: O20040519001509 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Austin Lyle Parker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Austin Lyle Parker, MD
Nmrtc Portsmouth - Nephrology Clinic, 620 John Paul Jones Circle,
Portsmouth, VA 23708
Ph: (757) 953-2051 | Dr Austin Lyle Parker, MD
881 Uss James Madison Rd, Nssc Undersea Medical Department,
Kings Bay, GA 31547-2531
Ph: (912) 573-2995 |
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