Dr Lyle Wayne Carlson, PHD is a
Clinical Neuropsychologist based in Fort Campbell, Kentucky. Dr Lyle Wayne Carlson is licensed to practice in Kentucky (license number KY1384) and his current practice location is
650 Joel Dr, Fort Campbell, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 798-8388.
NPI number for Dr Lyle Wayne Carlson is 1700971561 and his current mailing address is 650 Joel Dr, Fort Campbell, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700971561.
Healthcare Provider's Profile
| Full Name | Dr Lyle Wayne Carlson |
|---|
| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 650 Joel Dr, Fort Campbell, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700971561
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 09/30/2014
Medical Identifiers
Medical identifiers for Dr Lyle Wayne Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700971561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | KY1384 (Kentucky) | Secondary |
| 103G00000X | Clinical Neuropsychologist | KY1384 (Kentucky) | 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. Dr Lyle Wayne Carlson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lyle Wayne Carlson, PHD
650 Joel Dr,
Fort Campbell, KY 42223-5318
Ph: (270) 798-8388 | Dr Lyle Wayne Carlson, PHD
650 Joel Dr,
Fort Campbell, KY 42223-5318
Ph: (270) 798-8388 |
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