Lyle M Berry, MD is a medicare enrolled "Hospitalist" physician in Riverton, Utah. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2008 and has 18 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Ihc Health Services Inc and his current practice location is
3723 W 12600 S, Riverton, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 507-4384.
Lyle M Berry is licensed to practice in Utah (license number 7471625-1205) 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 1871730036.
Physician's Profile
| Full Name | Lyle M Berry |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 18 Years |
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| Location | 3723 W 12600 S, Riverton, Utah |
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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:
- Lyle M Berry attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2008
NPI Data:
- NPI Number: 1871730036
- Provider Enumeration Date: 01/09/2009
- Last Update Date: 05/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 7618145525
- Enrollment ID: I20110720000567
Medical Identifiers
Medical identifiers for Lyle M Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871730036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 7471625-1205 (Utah) | Primary |
| 207R00000X | Internal Medicine | 7471625-1205 (Utah) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ihc Health Services Inc | 1850209420 | 3956 |
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. Lyle M Berry allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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. Lyle M Berry 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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Lyle M Berry, MD
Po Box 27128,
Salt Lake City, UT 84127-0128
Ph: (801) 507-4384 | Lyle M Berry, MD
3723 W 12600 S,
Riverton, UT 84065-7295
Ph: (801) 507-4384 |
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