Lyle Victor, MD - Medicare Pulmonary Disease in Canton, MI

Lyle Victor, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Canton, Michigan. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1971 and has 53 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Beaumont Medical Group- Specialty Services and his current practice location is 42180 Ford Rd Ste 201, Canton, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 844-6075.

Lyle Victor is licensed to practice in Michigan (license number 4301038979) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447230669.

Contact Information

Lyle Victor, MD
42180 Ford Rd Ste 201,
Canton, MI 48187-3676
(734) 844-6075
Not Available



Physician's Profile

Full NameLyle Victor
GenderMale
SpecialityPulmonary Disease
Experience53 Years
Location42180 Ford Rd Ste 201, Canton, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lyle Victor attended and graduated from Icahn School Of Medicine At Mount Sinai in 1971
  NPI Data:
  • NPI Number: 1447230669
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 10/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8123072790
  • Enrollment ID: I20050307000332

Medical Identifiers

Medical identifiers for Lyle Victor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447230669NPI-NPPES
104530220MedicaidMI
290H216580OtherMIBLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 4301038979 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital - Farmington HillsFarmington hills, MIHospital
Beaumont Hospital - DearbornDearborn, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beaumont Medical Group- Specialty Services7214299866787

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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. Lyle Victor allows following entities to bill medicare on his behalf.
Entity NameOakwood Ambulatory Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003829441
PECOS PAC ID: 1850282914
Enrollment ID: O20040320000401

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Entity NameBeaumont Medical Group- Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578072906
PECOS PAC ID: 7214299866
Enrollment ID: O20180320002549

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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. Lyle Victor 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
Lyle Victor, MD
26901 Beaumont Blvd Ste 3d,
Southfield, MI 48033-3849

Ph: () -
Lyle Victor, MD
42180 Ford Rd Ste 201,
Canton, MI 48187-3676

Ph: (734) 844-6075

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Internal Medicine Doctors in Canton, MI

Indrani Nimmagadda, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2050 N Haggerty Rd Ste 100, Canton, MI 48187
Phone: 734-446-9760    Fax: 734-981-2259
Zahoorul Hassan,
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 40592 Tamarack Dr, Apt#204, Canton, MI 48188
Phone: 734-560-9451    
Dr. Tracey M Sperry, D.O.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 49650 Cherry Hill Road, Suite 120, Canton, MI 48187
Phone: 734-398-7800    Fax: 734-398-7805
Dr. David Isaac Margolis, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2050 N Haggerty Rd, Suite 100, Canton, MI 48187
Phone: 734-981-1086    Fax: 734-981-5094
Ayman Daoud, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 43050 Ford Rd, Suite 160, Canton, MI 48187
Phone: 734-927-4486    Fax: 734-927-4487
Dr. Umayr Azimi, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 44237 Michigan Ave, Canton, MI 48188
Phone: 734-333-9001    Fax: 734-333-9002
Dr. Christopher Lesean Ifill, MD
Pulmonary Disease
Medicare: May Accept Medicare Assignments
Practice Location: 2283 Town Center Rd, Canton, MI 48188
Phone: 248-225-7806    

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