Kyle Thomas Lipscomb, PA - Medicare Physician Assistant in Statesville, NC

Kyle Thomas Lipscomb, PA is a medicare enrolled "Physician Assistant" in Statesville, North Carolina. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Piedmont Healthcare Pa and his current practice location is 633 Brookdale Dr Ste 300, Statesville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 978-4025.

Kyle Thomas Lipscomb is licensed to practice in North Carolina (license number 0010-10456) 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 1619507027.

Contact Information

Kyle Thomas Lipscomb, PA
633 Brookdale Dr Ste 300,
Statesville, NC 28677-3471
(704) 978-4025
Not Available

Map and Direction




Provider's Profile

Full NameKyle Thomas Lipscomb
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location633 Brookdale Dr Ste 300, Statesville, North Carolina
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:
  • Kyle Thomas Lipscomb graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1619507027
  • Provider Enumeration Date: 01/24/2020
  • Last Update Date: 08/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557773348
  • Enrollment ID: I20201221000846

Medical Identifiers

Medical identifiers for Kyle Thomas Lipscomb such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619507027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-10456 (North Carolina)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Iredell Memorial Hospital IncStatesville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Healthcare Pa9638070683226

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. Kyle Thomas Lipscomb allows following entities to bill medicare on his behalf.
Entity NamePiedmont Healthcare PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912999897
PECOS PAC ID: 9638070683
Enrollment ID: O20040114000339

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. Kyle Thomas Lipscomb 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
Kyle Thomas Lipscomb, PA
Po Box 1845,
Statesville, NC 28687-1845

Ph: (704) 873-4277
Kyle Thomas Lipscomb, PA
633 Brookdale Dr Ste 300,
Statesville, NC 28677-3471

Ph: (704) 978-4025

Reviews and Comments


Physician Assistant Nurses in Statesville, NC

Summer Elizabeth Lackey, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 705 Gaither Rd, Statesville, NC 28625
Phone: 704-871-1155    Fax: 704-872-2484
Helena Bui, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1405 Fern Creek Dr, Statesville, NC 28625
Phone: 704-659-7866    
Ms. Bridgette Ann Cooke, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 340 Signal Hill Dr Ste C, Statesville, NC 28625
Phone: 704-871-8999    
Mrs. Allyson M. Savery, PA-C, M.S.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 276 Old Mocksville Rd, Suite 100, Statesville, NC 28625
Phone: 704-883-8660    Fax: 704-883-8661
Jill Suzanne Calhoun, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 738 Bryant St Ste A, Statesville, NC 28677
Phone: 704-873-1189    Fax: 704-873-1116
Ms. Kacie Miller Teeter, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 310 Davie Ave, Statesville Family Practice, Statesville, NC 28677
Phone: 704-873-3269    Fax: 704-871-8159
Jared Carter, PAC
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1540 E Broad St Ste B, Statesville, NC 28625
Phone: 704-380-6900    Fax: 704-380-6901

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.