John Marvin Lytle Jr, - Medicare Nurse Practitioner in Cleveland, TN

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John Marvin Lytle Jr, is a medicare enrolled "Nurse Practitioner - Adult Health" in Cleveland, Tennessee. His current practice location is 2020 Westland Dr Sw, Cleveland, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 478-1970.

John Marvin Lytle Jr is licensed to practice in Tennessee (license number 30618) 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 1356092571.

Contact Information

John Marvin Lytle Jr,
2020 Westland Dr Sw,
Cleveland, TN 37311-8163
(423) 478-1970
Not Available

Map and Direction




Provider's Profile

Full NameJohn Marvin Lytle Jr
GenderMale
SpecialityNurse Practitioner - Adult Health
Location2020 Westland Dr Sw, Cleveland, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356092571
  • Provider Enumeration Date: 01/11/2022
  • Last Update Date: 01/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951781970
  • Enrollment ID: I20220708001296

Medical Identifiers

Medical identifiers for John Marvin Lytle Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356092571NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 30618 (Tennessee)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. John Marvin Lytle Jr allows following entities to bill medicare on his behalf.
Entity NameChattanooga Hamilton County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154751931
PECOS PAC ID: 0547179731
Enrollment ID: O20040302001086
Entity NameOcoee Regional Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902010770
PECOS PAC ID: 1355233693
Enrollment ID: O20040412001630

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. John Marvin Lytle 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 AddressPractice Location Address
John Marvin Lytle Jr,
5346 Collegeview Dr,
Ooltewah, TN 37363-8734

Ph: (772) 349-1084		John Marvin Lytle Jr,
2020 Westland Dr Sw,
Cleveland, TN 37311-8163

Ph: (423) 478-1970

Reviews and Comments


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Robert Breck Lang, FNP
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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.