Dr Terry L Coyle, DC, FNP is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Fort Mohave, Arizona. He graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Revolutionary Services Llc and his current practice location is
5130 S Highway 95, Fort Mohave, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 768-2811.
Dr Terry L Coyle is licensed to practice in Arizona (license number AP5296) 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 1639127780.
Physician's Profile
| Full Name | Dr Terry L Coyle |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 5130 S Highway 95, Fort Mohave, Arizona |
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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 Terry L Coyle graduated from medical school in 2013
NPI Data:
- NPI Number: 1639127780
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 07/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 6901863349
- Enrollment ID: I20131125001367
Medical Identifiers
Medical identifiers for Dr Terry L Coyle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639127780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | AP5296 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Revolutionary Services Llc | 1254347560 | 2 |
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 Terry L Coyle allows following entities to bill medicare on his behalf.
| Entity Name | Revolutionary Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598092082
PECOS PAC ID: 1254347560
Enrollment ID: O20091130000411 |
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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 Terry L Coyle 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 Terry L Coyle, DC, FNP
5130 S Highway 95,
Fort Mohave, AZ 86426-9374
Ph: (928) 768-2811 | Dr Terry L Coyle, DC, FNP
5130 S Highway 95,
Fort Mohave, AZ 86426-9374
Ph: (928) 768-2811 |
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