Dr Michael Phillip Doyle, MEDICAL DOCTOR - Medicare Pediatrics in South Lake Tahoe, CA

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Dr Michael Phillip Doyle, MEDICAL DOCTOR is a medicare enrolled "Pediatrics" physician in South Lake Tahoe, California. His current practice location is 2074 Lake Tahoe Blvd, Ste 9, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 541-6100.

Dr Michael Phillip Doyle is licensed to practice in California (license number G71419) 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 1265460463.

Contact Information

Dr Michael Phillip Doyle, MEDICAL DOCTOR
2074 Lake Tahoe Blvd, Ste 9,
South Lake Tahoe, CA 96150-6407
(530) 541-6100
(530) 541-5945

Map and Direction




Physician's Profile

Full NameDr Michael Phillip Doyle
GenderMale
SpecialityPediatrics
Location2074 Lake Tahoe Blvd, South Lake Tahoe, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265460463
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 01/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5496283764
  • Enrollment ID: I20250114002975

Medical Identifiers

Medical identifiers for Dr Michael Phillip Doyle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265460463NPI-NPPES
GR0005620MedicaidCA
002085724MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics G71419 (California)Primary

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 Michael Phillip Doyle allows following entities to bill medicare on his behalf.
Entity NameNorthern Inyo Healthcare District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922198712
PECOS PAC ID: 8921992090
Enrollment ID: O20040210000652
Entity NameNorthern Inyo Healthcare District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1922198712
PECOS PAC ID: 8921992090
Enrollment ID: O20100723000444

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 Michael Phillip Doyle 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
Dr Michael Phillip Doyle, MEDICAL DOCTOR
2074 Lake Tahoe Blvd, Ste 9,
South Lake Tahoe, CA 96150-6407

Ph: (530) 541-6100		Dr Michael Phillip Doyle, MEDICAL DOCTOR
2074 Lake Tahoe Blvd, Ste 9,
South Lake Tahoe, CA 96150-6407

Ph: (530) 541-6100

Reviews and Comments


Pediatrics Doctors in South Lake Tahoe, CA

Audrey Jean Dasilva,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5550    
Dr. Jennifer Ann Ehmann, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5623    Fax: 530-541-5738

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.