Raven Danielle Lyles, in Charlotte, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Raven Danielle Lyles, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlotte, North Carolina. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Medstar Medical Group Ii Llc and her current practice location is 200 Hawthorne Ln, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-4274.

Raven Danielle Lyles is licensed to practice in North Carolina (license number 6828) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013661230.

Contact Information

	Raven Danielle Lyles,
	200 Hawthorne Ln, Charlotte, NC 28204-2515
	(704) 384-4274
	Not Available

Map and Direction

Provider's Profile

Full Name	Raven Danielle Lyles
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	200 Hawthorne Ln, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Raven Danielle Lyles graduated from nursing school in 2021

NPI Data:

NPI Number: 1013661230
Provider Enumeration Date: 02/07/2022
Last Update Date: 02/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4880080597
Enrollment ID: I20240423000985

Medical Identifiers

Medical identifiers for Raven Danielle Lyles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013661230	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	6828 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medstar Medical Group Ii Llc	0547413825	2998

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. Raven Danielle Lyles allows following entities to bill medicare on her behalf.

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347

Entity Name	Medstar Medical Group Anesthesiology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171207001966

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. Raven Danielle Lyles 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
Raven Danielle Lyles, 355 Old Spanish Trl, Jackson, MS 39212-3210 Ph: (601) 405-1782	Raven Danielle Lyles, 200 Hawthorne Ln, Charlotte, NC 28204-2515 Ph: (704) 384-4274

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charlotte, NC

Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636
Alexandru Daniel Vlasin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000

Raven Danielle Lyles, - Medicare Certified Registered Nurse Anesthetist (crna) in Charlotte, NC