Lara Lea Kyhl, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Shell Rock, Iowa. Her current practice location is
1001 Mason Way, Shell Rock, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 885-6530.
Lara Lea Kyhl is licensed to practice in Iowa (license number A095740) 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 1467543124.
Provider's Profile
| Full Name | Lara Lea Kyhl |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1001 Mason Way, Shell Rock, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467543124
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850397779
- Enrollment ID: I20180123000580
Medical Identifiers
Medical identifiers for Lara Lea Kyhl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467543124 | NPI | - | NPPES |
| 1467543124 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | A095740 (Iowa) | 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. Lara Lea Kyhl allows following entities to bill medicare on her behalf.
| Entity Name | Waverly Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598959371
PECOS PAC ID: 8820996762
Enrollment ID: O20031230000129 |
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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. Lara Lea Kyhl 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 |
|---|
Lara Lea Kyhl, ARNP
31379 302nd St,
New Hartford, IA 50660-8602
Ph: (319) 240-8116 | Lara Lea Kyhl, ARNP
1001 Mason Way,
Shell Rock, IA 50670-1007
Ph: (319) 885-6530 |
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