Mr Matthew Lamar Lyle, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bogalusa, LA

Mr Matthew Lamar Lyle, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bogalusa, Louisiana. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Youngs Professional Services Llc and his current practice location is 433 Plaza St, Bogalusa, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 730-6700.

Mr Matthew Lamar Lyle is licensed to practice in Louisiana (license number APO4029) 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 1740210061.

Contact Information

Mr Matthew Lamar Lyle, CRNA
433 Plaza St,
Bogalusa, LA 70427-3729
(985) 730-6700
(985) 730-6713



Provider's Profile

Full NameMr Matthew Lamar Lyle
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience22 Years
Location433 Plaza St, Bogalusa, Louisiana
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:
  • Mr Matthew Lamar Lyle graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1740210061
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 07/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355315631
  • Enrollment ID: I20040823000923

Medical Identifiers

Medical identifiers for Mr Matthew Lamar Lyle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740210061NPI-NPPES
183618001MedicaidAR
1740210061MedicaidMO
200497160AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN089353 (Louisiana)Secondary
367500000XNurse Anesthetist, Certified Registered C02817 (Arkansas)Secondary
367500000XNurse Anesthetist, Certified Registered APO4029 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
AvalaCovington, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Youngs Professional Services Llc2163524992239

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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. Mr Matthew Lamar Lyle allows following entities to bill medicare on his behalf.
Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20070226000608

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Entity NameZephyr Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891087458
PECOS PAC ID: 1658559125
Enrollment ID: O20110705000180

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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. Mr Matthew Lamar 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 AddressPractice Location Address
Mr Matthew Lamar Lyle, CRNA
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (225) 526-0011
Mr Matthew Lamar Lyle, CRNA
433 Plaza St,
Bogalusa, LA 70427-3729

Ph: (985) 730-6700

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Nurse Anesthetist, Certified Registered Nurses in Bogalusa, LA

Henry Y Au, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa Medical Center, Bogalusa, LA 70427
Phone: 504-813-1539    
Rodrigo A Lopez,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6700    Fax: 985-730-6713
David Michael Kalil, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6700    Fax: 985-730-6713
Darryl G. Hughes, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6705    Fax: 985-730-7183
Damon Fortenberry, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6700    Fax: 985-730-6713
Devin Respess, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6700    Fax: 985-730-6713

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