Nicole Alicia Lytle, PA - Medicare Physician Assistant in Warner Robins, GA

Nicole Alicia Lytle, PA is a medicare enrolled "Physician Assistant - Medical" in Warner Robins, Georgia. Her current practice location is 116 S Houston Rd, Warner Robins, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 923-0131.

Nicole Alicia Lytle is licensed to practice in Georgia (license number 003771) 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 1174654651.

Contact Information

Nicole Alicia Lytle, PA
116 S Houston Rd,
Warner Robins, GA 31088-3904
(478) 923-0131
Not Available



Provider's Profile

Full NameNicole Alicia Lytle
GenderFemale
SpecialityPhysician Assistant - Medical
Location116 S Houston Rd, Warner Robins, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174654651
  • Provider Enumeration Date: 03/08/2007
  • Last Update Date: 08/11/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0446239255
  • Enrollment ID: I20040715000915

Medical Identifiers

Medical identifiers for Nicole Alicia Lytle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174654651NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 003771 (Georgia)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. Nicole Alicia Lytle 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
Nicole Alicia Lytle, PA
503 Saint Marlo Dr,
Centerville, GA 31028-8005

Ph: (478) 953-1345
Nicole Alicia Lytle, PA
116 S Houston Rd,
Warner Robins, GA 31088-3904

Ph: (478) 923-0131

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Physician Assistant Nurses in Warner Robins, GA

Le'tombria Seay, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 125 Russell Pkwy, Warner Robins, GA 31088
Phone: 478-923-9730    
Amie Renee Daniels, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2054 Watson Blvd, Warner Robins, GA 31093
Phone: 478-918-0770    Fax: 478-918-0771
Andrew L. Ray, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093
Phone: 478-953-4563    Fax: 478-953-4683
Ngoc Tram Dang,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1601 Watson Blvd, Warner Robins, GA 31093
Phone: 478-922-4281    
Mrs. Amanda Knauer Hale, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 114 Sutherlin Dr Ste 1c, Warner Robins, GA 31088
Phone: 478-287-6144    
Chad Alan Desbiens,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 204 Bowen Dr, Warner Robins, GA 31088
Phone: 478-957-5465    

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