Michael Lilly, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Norton, Virginia. His current practice location is
96 15th St Nw Ste 111, Norton, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 439-1871.
Michael Lilly is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083111025.
Physician's Profile
| Full Name | Michael Lilly |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 96 15th St Nw Ste 111, Norton, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083111025
- Provider Enumeration Date: 04/06/2018
- Last Update Date: 11/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628503125
- Enrollment ID: I20241120003513
Medical Identifiers
Medical identifiers for Michael Lilly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083111025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 0101283381 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Michael Lilly 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 |
Michael Lilly, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111 | Michael Lilly, MD 96 15th St Nw Ste 111, Norton, VA 24273-1600 Ph: (276) 439-1871 |
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