Mr Lyle K Miyashiro, PA-C - Medicare Physician Assistant in Phoenix, AZ

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Mr Lyle K Miyashiro, PA-C is a medicare enrolled "Physician Assistant" in Phoenix, Arizona. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Banner Urgent Care Services Llc and his current practice location is 9150 W Indian School Rd Ste 131, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 873-0112.

Mr Lyle K Miyashiro is licensed to practice in Arizona (license number 7097) 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 1235639196.

Contact Information

Mr Lyle K Miyashiro, PA-C
9150 W Indian School Rd Ste 131,
Phoenix, AZ 85037
(623) 873-0112
(623) 873-1370

Map and Direction




Provider's Profile

Full NameMr Lyle K Miyashiro
GenderMale
SpecialityPhysician Assistant
Experience9 Years
Location9150 W Indian School Rd Ste 131, Phoenix, Arizona
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:
  • Mr Lyle K Miyashiro graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1235639196
  • Provider Enumeration Date: 02/17/2018
  • Last Update Date: 09/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6901153584
  • Enrollment ID: I20180728000110

Medical Identifiers

Medical identifiers for Mr Lyle K Miyashiro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235639196NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 7097 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Urgent Care Services Llc4284921610207

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. Mr Lyle K Miyashiro allows following entities to bill medicare on his behalf.
Entity NameRodd Aking MD LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942212345
PECOS PAC ID: 6305842949
Enrollment ID: O20061004000608
Entity NameEmergency Physicians Southwest PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912053752
PECOS PAC ID: 2264538529
Enrollment ID: O20070502000382
Entity NameQuantum Healthcare Medical Associates of Arizona PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821391269
PECOS PAC ID: 5597946350
Enrollment ID: O20110228000065
Entity NameBanner Urgent Care Arizona LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316349855
PECOS PAC ID: 3678749496
Enrollment ID: O20111228000784
Entity NameBanner Urgent Care Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609229764
PECOS PAC ID: 4284921610
Enrollment ID: O20160928001188

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. Mr Lyle K Miyashiro 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
Mr Lyle K Miyashiro, PA-C
1140 E La Mirada Dr,
Phoenix, AZ 85042-8387

Ph: (480) 567-8202		Mr Lyle K Miyashiro, PA-C
9150 W Indian School Rd Ste 131,
Phoenix, AZ 85037

Ph: (623) 873-0112

Reviews and Comments


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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).

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