| Michael K Kyles, MD | |
|
422 Hamilton Blvd, South Boston, VA 24592-5200 | |
| (434) 572-4074 | |
| (434) 572-4712 |
| Full Name | Michael K Kyles |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 50 Years |
| Location | 422 Hamilton Blvd, South Boston, Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073544094 | NPI | - | NPPES |
| 1073544094 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 23806 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Home Care Services (halifax) | South boston, VA | Home health agency |
| Sentara Halifax Regional Hospital | South boston, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dominion Health Medical Assoc | 1254311558 | 20 |
| Professional Therapies Of Roanoke, Inc. | 3375710619 | 176 |
| Entity Name | Dominion Health Medical Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael K Kyles, MD Po Box 860, South Boston, VA 24592-0860 Ph: (434) 517-3590 | Michael K Kyles, MD 422 Hamilton Blvd, South Boston, VA 24592-5200 Ph: (434) 572-4074 |
Dr. James Anthony Treadwell, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 | |
Dr. Philip Holzknecht, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
Dr. Jacqueline Mary Fogarty, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 409 Oak Ln, South Boston, VA 24592 Phone: 434-572-8300 Fax: 434-572-1659 | |
Dr. William C Maccarty Iii, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
Dr. Paul C Sparks, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
Dr. John L Trotter, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 |