| Johnnie Lyles, MD, MBA | |
|
2908 Oak Lake Blvd, Suite 205, Charlotte, NC 28208-7703 | |
| (704) 567-8233 | |
| Not Available |
| Full Name | Johnnie Lyles |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 19 Years |
| Location | 2908 Oak Lake Blvd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841491370 | NPI | - | NPPES |
| 1841491370 | Other | NC | UNITED HEALTH CARE |
| 1841491370 | Other | NC | BCBSNC |
| 1841491370 | Other | NC | HEALTHNET/TRICARE |
| 1841491370 | Medicaid | NC | |
| 1841491370 | Other | NC | MEDCOST |
| 1841491370 | Other | NC | COVENTRY/WELLPATH |
| 1841491370 | Other | NC | AETNA |
| 7014253 | Other | NC | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2009-00568 (North Carolina) | Secondary |
| 208D00000X | General Practice | 2009-00568 (North Carolina) | Primary |
| Entity Name | Carefirst Medical Associates, Pc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447636790 PECOS PAC ID: 7113222175 Enrollment ID: O20160229002415 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnnie Lyles, MD, MBA 2908 Oak Lake Blvd, Suite 205, Charlotte, NC 28208-7703 Ph: (704) 567-8233 | Johnnie Lyles, MD, MBA 2908 Oak Lake Blvd, Suite 205, Charlotte, NC 28208-7703 Ph: (704) 567-8233 |
Steven Andrew Stallard, General Practice Medicare: Accepting Medicare Assignments Practice Location: 8401 Medical Plaza Dr Ste 250, Charlotte, NC 28262 Phone: 704-384-1500 Fax: 704-384-1525 | |
David A. Cosenza, MD General Practice Medicare: Medicare Enrolled Practice Location: 10620 Park Rd, Ste 202, Charlotte, NC 28210 Phone: 704-667-0920 | |
Andrea Mary Desantis, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991 | |
James Philip Griggs Jr., MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 12016 Lemmond Farm Dr, Ste 100, Charlotte, NC 28227 Phone: 704-863-9615 | |
Nosheen Arif Qureshi, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991 | |
Dr. Joseph David Spataro, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6101 Idlewild Rd, Suite 300, Charlotte, NC 28212 Phone: 704-531-0990 Fax: 704-531-0464 | |
Thomas Joseph Koewler, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277 Phone: 704-667-2650 |