Lyle Maciver, is a
Obstetrics & Gynecology physician based in Brainerd, Minnesota. Lyle Maciver is licensed to practice in Minnesota (license number 20812) and his current practice location is 2024 S 6th St, Brainerd, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 825-7100.
NPI number for Lyle Maciver is 1497733638 and his current mailing address is 2024 S 6th St, Brainerd, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497733638.
Physician's Profile
| Full Name | Lyle Maciver |
|---|
| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 2024 S 6th St, Brainerd, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497733638
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Lyle Maciver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497733638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 20812 (Minnesota) | Primary |
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. Lyle Maciver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lyle Maciver,
2024 S 6th St,
Brainerd, MN 56401-4529
Ph: (218) 825-7100 | Lyle Maciver,
2024 S 6th St,
Brainerd, MN 56401-4529
Ph: (218) 825-7100 |
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