William D Lyles Jr, MD | |
205 Broadway, Hartsville, TN 37074-1303 | |
(615) 374-0703 | |
(615) 374-0019 |
Full Name | William D Lyles Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 205 Broadway, Hartsville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801001912 | NPI | - | NPPES |
3860457 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 16864 (Tennessee) | Primary |
207V00000X | Obstetrics & Gynecology | 16864 (Tennessee) | Secondary |
Entity Name | Emergency Physicians At Trousdale, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417201534 PECOS PAC ID: 6406000207 Enrollment ID: O20130201000431 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
Entity Name | Hcc Of Erin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144835273 PECOS PAC ID: 6204256530 Enrollment ID: O20201026001901 |
Entity Name | Ess Of Erin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992310023 PECOS PAC ID: 7810307816 Enrollment ID: O20201103000896 |
Mailing Address | Practice Location Address |
---|---|
William D Lyles Jr, MD 205 Broadway, P.o. Box 486, Hartsville, TN 37074-1303 Ph: (615) 374-0703 | William D Lyles Jr, MD 205 Broadway, Hartsville, TN 37074-1303 Ph: (615) 374-0703 |
Jack W Carey Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 Broadway, Hartsville, TN 37074 Phone: 615-374-2101 Fax: 615-374-4560 | |
Floyd Reed Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 213 Broadway, Hartsville, TN 37074 Phone: 615-374-9275 Fax: 615-374-9281 |