Mary Fennell Lyles, MD in Winston Salem, NC - Medicare Internal Medicine

Mary Fennell Lyles, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Winston Salem, North Carolina. Her current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-2255.

Mary Fennell Lyles is licensed to practice in North Carolina (license number 22777) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861477804.

Contact Information

	Mary Fennell Lyles, MD
	Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 716-2255
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Fennell Lyles
Gender	Female
Speciality	Internal Medicine - Geriatric Medicine
Location	Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861477804
Provider Enumeration Date: 12/13/2005
Last Update Date: 05/14/2008

Medicare PECOS Information:

PECOS PAC ID: 9537294475
Enrollment ID: I20100317001049

Medical Identifiers

Medical identifiers for Mary Fennell Lyles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861477804	NPI	-	NPPES
27314	Other	NC	MEDCOST
3810011190	Medicaid	WV
10656	Other	NC	PARTNERS
8953464	Medicaid	NC
53464	Other	NC	BCBS
7449759	Other		AETNA
7602715	Medicaid	VA
Q22777	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	22777 (North Carolina)	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. Mary Fennell Lyles allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Mary Fennell Lyles 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
Mary Fennell Lyles, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255	Mary Fennell Lyles, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255

Reviews and Comments

Internal Medicine Doctors in Winston Salem, NC

Shannon Mitchell St Clair, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Kamal Hanee Henderson, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Michael Joseph Mccormack Jr., M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Randall Stephan Conrad, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305
Brooke Williams, DO Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383
Dr. Analicia Marie Alvarado, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Dr. David Defeo, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737

Mary Fennell Lyles, MD - Medicare Internal Medicine in Winston Salem, NC