Dr Lyle Harrison, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in El Dorado, Kansas. He went to University Of Utah School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Radiation Oncology. His current practice location is
720 W Central Ave, El Dorado, Kansas. You can reach out to his office (for appointments etc.) via phone at
(316) 321-8780.
Dr Lyle Harrison is licensed to practice in Kansas (license number 0441126) 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 1750453361.
Physician's Profile
| Full Name | Dr Lyle Harrison |
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| Gender | Male |
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| Speciality | Radiation Oncology |
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| Experience | 31 Years |
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| Location | 720 W Central Ave, El Dorado, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lyle Harrison attended and graduated from University Of Utah School Of Medicine in 1993
NPI Data:
- NPI Number: 1750453361
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608897608
- Enrollment ID: I20180713000328
Medical Identifiers
Medical identifiers for Dr Lyle Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750453361 | NPI | - | NPPES |
| EA5581 | Other | KS | RADIATION ONCOLOGY |
| 201205230A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0001X | Radiology - Radiation Oncology | 7666 (North Dakota) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 0441126 (Kansas) | Primary |
Medical Facilities Affiliation
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 Lyle Harrison allows following entities to bill medicare on his behalf.
| Entity Name | Summit Oncology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679164362
PECOS PAC ID: 4587078738
Enrollment ID: O20210128002587 |
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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. Dr Lyle Harrison 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 |
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Dr Lyle Harrison, MD
Po Box 781378,
Wichita, KS 67278-1378
Ph: (316) 321-8780 | Dr Lyle Harrison, MD
720 W Central Ave,
El Dorado, KS 67042-2112
Ph: (316) 321-8780 |
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