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

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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 NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164
Entity NameAspirus Rhinelander & Tomahawk Hospitals & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706
Entity NameUniversity Of Wisconsin System Non Payroll
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346266319
PECOS PAC ID: 9133024888
Enrollment ID: O20031204001102
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 NameAspirus Merrill Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124084678
PECOS PAC ID: 0143117556
Enrollment ID: O20040301001179
Entity NameHoward Young Medical Center Inc Of Woodruff Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184673352
PECOS PAC ID: 4183519606
Enrollment ID: O20040419000970
Entity NameAspirus Eagle River Hospital & Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346204385
PECOS PAC ID: 1658361951
Enrollment ID: O20040518000233
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


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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.