Lyle D Pahnke Jr, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Centralia, Illinois. His current practice location is
400 N Pleasant Ave, Centralia, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 436-6318.
Lyle D Pahnke Jr is licensed to practice in Illinois (license number 036089773) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770538225.
Physician's Profile
Full Name | Lyle D Pahnke Jr |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 400 N Pleasant Ave, Centralia, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lyle D Pahnke Jr attended and graduated from in
NPI Data:
- NPI Number: 1770538225
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 04/15/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lyle D Pahnke Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770538225 | NPI | - | NPPES |
CG2264 | Other | IL | RR GROUP NUMBER |
207988 | Other | IL | GROUP |
036089773 | Medicaid | IL | |
P00169541 | Other | IL | RR MEDICARE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 036089773 (Illinois) | Secondary |
208600000X | Surgery | 036089773 (Illinois) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 036089773 (Illinois) | 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 D Pahnke Jr 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 |
Lyle D Pahnke Jr, MD 400 N Pleasant Ave, Centralia, IL 62801-3056 Ph: (618) 436-6318 | Lyle D Pahnke Jr, MD 400 N Pleasant Ave, Centralia, IL 62801-3056 Ph: (618) 436-6318 |
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