| Dr Pamela Lynn Lyle, MD | |
|
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
| (850) 863-7563 | |
| (850) 315-7808 |
| Full Name | Dr Pamela Lynn Lyle |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 20 Years |
| Location | 1000 Mar Walt Dr, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144478280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME145587 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Largo Medical Center | Largo, FL | Hospital |
| Bayfront Health Seven Rivers | Crystal river, FL | Hospital |
| Lawnwood Regional Medical Center & Heart Institute | Fort pierce, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ruffolo Hooper And Associates Md Pa | 1355324658 | 41 |
| Integrated Regional Laboratories Pathology Services, Llc | 9133244346 | 124 |
| Entity Name | Ruffolo Hooper & Associates Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790732360 PECOS PAC ID: 1355324658 Enrollment ID: O20040609000084 |
| Entity Name | Integrated Regional Laboratories Pathology Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942526298 PECOS PAC ID: 9133244346 Enrollment ID: O20100911000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pamela Lynn Lyle, MD Po Box 741087, Atlanta, GA 30374-1087 Ph: (850) 863-7563 | Dr Pamela Lynn Lyle, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 863-7563 |
Neil George Grant Asthana, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7660 | |
Thomas Joseph Casey, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7563 Fax: 850-315-7808 |