Lyle D Pahnke Jr, MD - Medicare General Surgery in Centralia, IL

  1. Home
  2. Surgery
  3. IL
  4. Centralia
Lyle D Pahnke Jr, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Centralia, Illinois. He graduated from medical school in 1970 and has 55 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice St Marys Hospital Centralia Illinois, Physician Services Corporation Of Southern Illinois Inc and his current practice location is 400 N Pleasant Ave, Centralia, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 436-6318.

Lyle D Pahnke Jr is licensed to practice in Illinois (license number 036089773) 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 1770538225.

Contact Information

Lyle D Pahnke Jr, MD
400 N Pleasant Ave,
Centralia, IL 62801-3056
(618) 436-6318
(618) 436-6386

Map and Direction




Physician's Profile

Full NameLyle D Pahnke Jr
GenderMale
SpecialityGeneral Surgery
Experience55 Years
Location400 N Pleasant Ave, Centralia, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lyle D Pahnke Jr graduated from medical school in 1970
  NPI Data:
  • NPI Number: 1770538225
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 04/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931162302
  • Enrollment ID: I20041105001094

Medical Identifiers

Medical identifiers for Lyle D Pahnke Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770538225NPI-NPPES
CG2264OtherILRR GROUP NUMBER
207988OtherILGROUP
036089773MedicaidIL
P00169541OtherILRR MEDICARE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036089773 (Illinois)Secondary
208600000XSurgery 036089773 (Illinois)Secondary
2086S0129XSurgery - Vascular Surgery 036089773 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Hospital Centralia Illinois670978892038
Physician Services Corporation Of Southern Illinois Inc9234022567103

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 D Pahnke Jr allows following entities to bill medicare on his behalf.
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583

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 D Pahnke Jr 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
Lyle D Pahnke Jr, MD
400 N Pleasant Ave,
Centralia, IL 62801-3056

Ph: (618) 436-6318		Lyle D Pahnke Jr, MD
400 N Pleasant Ave,
Centralia, IL 62801-3056

Ph: (618) 436-6318

Reviews and Comments


Surgery Doctors in Centralia, IL

Mark Alden Murfin Jr., MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1063 Martin Luther King Dr, Centralia, IL 62801
Phone: 618-532-4004    Fax: 618-532-2856
Merrilee R Brandt, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1054 Martin Luther King Dr, Suite 125, Centralia, IL 62801
Phone: 618-436-5200    Fax: 618-436-8066

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.