Dr Kyle Lendon Lacy, MD in Madison, WI - Medicare Diagnostic Radiology

Dr Kyle Lendon Lacy, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Madison, Wisconsin. He went to University Of Mississippi School Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ihc Health Services Inc and his current practice location is 211 S Henry St Unit 403, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (662) 418-4076.

Dr Kyle Lendon Lacy is licensed to practice in Utah (license number 13894379-1205) 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 1356847834.

Contact Information

	Dr Kyle Lendon Lacy, MD
	211 S Henry St Unit 403, Madison, WI 53703-4793
	(662) 418-4076
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kyle Lendon Lacy
Gender	Male
Speciality	Diagnostic Radiology
Experience	7 Years
Location	211 S Henry St Unit 403, Madison, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kyle Lendon Lacy attended and graduated from University Of Mississippi School Of Medicine in 2018

NPI Data:

NPI Number: 1356847834
Provider Enumeration Date: 04/03/2018
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1759638711
Enrollment ID: I20240625003033

Medical Identifiers

Medical identifiers for Dr Kyle Lendon Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356847834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	73832-20 (Wisconsin)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	13894379-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Intermountain Medical Center	Murray, UT	Hospital
Mckay Dee Hospital	Ogden, UT	Hospital
Cedar City Hospital	Cedar city, UT	Hospital
Lds Hospital	Salt lake city, UT	Hospital
Alta View Hospital	Sandy, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ihc Health Services Inc	1850209420	3531

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. Dr Kyle Lendon Lacy allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Tellica Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760197198 PECOS PAC ID: 3577950765 Enrollment ID: O20231201000761

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. Dr Kyle Lendon Lacy 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
Dr Kyle Lendon Lacy, MD 211 S Henry St Unit 403, Madison, WI 53703-4793 Ph: (662) 418-4076	Dr Kyle Lendon Lacy, MD 211 S Henry St Unit 403, Madison, WI 53703-4793 Ph: (662) 418-4076

Reviews and Comments

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Dr Kyle Lendon Lacy, MD - Medicare Diagnostic Radiology in Madison, WI