Russell Ray Lyle, MD in Ridgeland, MS - Medicare Pediatrics

Russell Ray Lyle, MD is a medicare enrolled "Pediatrics" physician in Ridgeland, Mississippi. His current practice location is 303 Hunter Crest, Ridgeland, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 605-9995.

Russell Ray Lyle is licensed to practice in Mississippi (license number 0017) 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 1922396126.

Contact Information

	Russell Ray Lyle, MD
	303 Hunter Crest, Ridgeland, MS 39157
	(601) 605-9995
	Not Available

Physician's Profile

Full Name	Russell Ray Lyle
Gender	Male
Speciality	Pediatrics
Location	303 Hunter Crest, Ridgeland, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922396126
Provider Enumeration Date: 07/21/2011
Last Update Date: 11/06/2015

Medicare PECOS Information:

PECOS PAC ID: 8224338306
Enrollment ID: I20151120001600

Medical Identifiers

Medical identifiers for Russell Ray Lyle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922396126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0017 (Mississippi)	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. Russell Ray Lyle 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
Russell Ray Lyle, MD 303 Hunter Crest, Ridgeland, MS 39157 Ph: (601) 605-9995	Russell Ray Lyle, MD 303 Hunter Crest, Ridgeland, MS 39157 Ph: (601) 605-9995

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Pediatrics Doctors in Ridgeland, MS

Dr. Shamika Rochelle Hudson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 297 Highway 51 Ste B, Ridgeland, MS 39157 Phone: 601-707-5381 Fax: 601-707-5382
Yolanda W Wilson, M. D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 297 Highway 51 Ste B, Ridgeland, MS 39157 Phone: 601-707-5381 Fax: 601-707-5382
Dr. Jennifer O'sullivan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 297 Highway 51 Ste B, Ridgeland, MS 39157 Phone: 601-707-5381 Fax: 601-707-5382
Courtney Rey Convertino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6919 Old Canton Rd, Ridgeland, MS 39157 Phone: 601-956-0911

Russell Ray Lyle, MD - Medicare Pediatrics in Ridgeland, MS