Mary Fennell Lyles, MD - Medicare Internal Medicine in Winston Salem, NC

Mary Fennell Lyles, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Winston Salem, North Carolina. Her current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-2255.

Mary Fennell Lyles is licensed to practice in North Carolina (license number 22777) 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 1861477804.

Contact Information

Mary Fennell Lyles, MD
Medical Center Blvd,
Winston Salem, NC 27157-0001
(336) 716-2255
Not Available



Physician's Profile

Full NameMary Fennell Lyles
GenderFemale
SpecialityInternal Medicine - Geriatric Medicine
LocationMedical Center Blvd, Winston Salem, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861477804
  • Provider Enumeration Date: 12/13/2005
  • Last Update Date: 05/14/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9537294475
  • Enrollment ID: I20100317001049

Medical Identifiers

Medical identifiers for Mary Fennell Lyles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861477804NPI-NPPES
27314OtherNCMEDCOST
3810011190MedicaidWV
10656OtherNCPARTNERS
8953464MedicaidNC
53464OtherNCBCBS
7449759OtherAETNA
7602715MedicaidVA
Q22777MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 22777 (North Carolina)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. Mary Fennell Lyles allows following entities to bill medicare on her behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436

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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. Mary Fennell Lyles 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
Mary Fennell Lyles, MD
Po Box 344,
Winston Salem, NC 27102-0344

Ph: (336) 716-2255
Mary Fennell Lyles, MD
Medical Center Blvd,
Winston Salem, NC 27157-0001

Ph: (336) 716-2255

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A team led by the University of Illinois at Urbana-Champaign's Grainger College of Engineering and Carle Health has produced a prototype emergency ventilator to help address the expected surge in the need for respiratory care associated with the COVID-19 pandemic.

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Internal Medicine Doctors in Winston Salem, NC

Shannon Mitchell St Clair, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103
Phone: 336-277-2000    Fax: 336-277-2050
Dr. Kamal Hanee Henderson, MD
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103
Phone: 336-277-2000    Fax: 336-277-2050
Dr. Michael Joseph Mccormack Jr., M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2255    
Brooke Williams, DO
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103
Phone: 336-718-8383    
Dr. David Defeo, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103
Phone: 336-765-0383    Fax: 336-768-1737
James Alan Senft, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2011    Fax: 336-713-9576
Dr. Michael Richard Morgan, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1381 Westgate Center Dr, Winston Salem, NC 27103
Phone: 336-718-7080    Fax: 336-718-0441

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