Dr Kyle Lendon Lacy, MD - Medicare Radiology in Madison, WI

  1. Home
  2. Radiology
  3. WI
  4. Madison
Dr Kyle Lendon Lacy, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Madison, Wisconsin. His current practice location is 211 S Henry St Unit 403, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (662) 418-4076.

Dr Kyle Lendon Lacy is licensed to practice in Utah (license number 13894379-1205) 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 1356847834.

Contact Information

Dr Kyle Lendon Lacy, MD
211 S Henry St Unit 403,
Madison, WI 53703-4793
(662) 418-4076
Not Available

Map and Direction




Physician's Profile

Full NameDr Kyle Lendon Lacy
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location211 S Henry St Unit 403, Madison, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356847834
  • Provider Enumeration Date: 04/03/2018
  • Last Update Date: 07/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759638711
  • Enrollment ID: I20220823002348

Medical Identifiers

Medical identifiers for Dr Kyle Lendon Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356847834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 73832-20 (Wisconsin)Secondary
2085R0202XRadiology - Diagnostic Radiology 13894379-1205 (Utah)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 Kyle Lendon Lacy allows following entities to bill medicare on his behalf.
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164
Entity NameGroup Health Cooperative Of South Central Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245260165
PECOS PAC ID: 3870489586
Enrollment ID: O20040227000306
Entity NameRichland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659301273
PECOS PAC ID: 7618861618
Enrollment ID: O20110318000356
Entity NameAdvanced Radiology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790773539
PECOS PAC ID: 2365339207
Enrollment ID: O20150303002430

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 Kyle Lendon Lacy 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 AddressPractice Location Address
Dr Kyle Lendon Lacy, MD
211 S Henry St Unit 403,
Madison, WI 53703-4793

Ph: (662) 418-4076		Dr Kyle Lendon Lacy, MD
211 S Henry St Unit 403,
Madison, WI 53703-4793

Ph: (662) 418-4076

Reviews and Comments


Radiology Doctors in Madison, WI

Pippa Froukte Cosper, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 600 Highland Ave, Madison, WI 53792
Phone: 608-263-8500    Fax: 608-263-9167
Dr. David Francis, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: Uw Hospitals And Clinics, 600 Highland Ave, Madison, WI 53792
Phone: 608-263-6400    
Tyler M Prout, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 600 Highland Ave, Madison, WI 53792
Phone: 608-263-8340    Fax: 608-265-6533
Dr. Michelle Mary Kolton Mackay, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1104 John Nolen Dr, Madison, WI 53713
Phone: 608-251-6868    Fax: 608-251-4255
Troy Nelson Tenbrunsel, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792
Phone: 608-263-6400    
Dr. Taylor J Sellers, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 600 Highland Ave, Madison, WI 53792
Phone: 608-263-6042    
Michael W. Zinda, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1104 John Nolen Dr, Madison, WI 53713
Phone: 608-251-6868    Fax: 608-251-4255

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.