Mr Kyle Short, in Boynton Beach, FL - Medicare Counselor Provider

Mr Kyle Short, is a medicare enrolled "Counselor - Mental Health" provider in Boynton Beach, Florida. His current practice location is 2500 Quantum Lakes Dr Ste 105, Boynton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 770-1780.

Mr Kyle Short is licensed to practice in Florida (license number IMH17305) 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 1073199048.

Contact Information

	Mr Kyle Short,
	2500 Quantum Lakes Dr Ste 105, Boynton Beach, FL 33426-8308
	(561) 770-1780
	(833) 562-8893

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kyle Short
Gender	Male
Speciality	Counselor - Mental Health
Location	2500 Quantum Lakes Dr Ste 105, Boynton Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073199048
Provider Enumeration Date: 03/22/2021
Last Update Date: 03/22/2021

Medicare PECOS Information:

PECOS PAC ID: 4082056189
Enrollment ID: I20240521001953

Medical Identifiers

Medical identifiers for Mr Kyle Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073199048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMH17305 (Florida)	Primary

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 Kyle Short allows following entities to bill medicare on his behalf.

Entity Name	Mtca Psychological Services P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740552322 PECOS PAC ID: 6406010834 Enrollment ID: O20120614000204

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 Kyle Short 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
Mr Kyle Short, 2500 Quantum Lakes Dr Ste 105, Boynton Beach, FL 33426-8308 Ph: (561) 770-1780	Mr Kyle Short, 2500 Quantum Lakes Dr Ste 105, Boynton Beach, FL 33426-8308 Ph: (561) 770-1780

Reviews and Comments

Counselor in Boynton Beach, FL

Teri F Isabella, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 4777 Storkwood Rd Apt A, Boynton Beach, FL 33436 Phone: 302-423-5596
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Leo Timothy Michael Balseiro, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 Gateway Blvd, Boynton Beach, FL 33426 Phone: 954-317-9032
Brian Hoffman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4875 Park Ridge Blvd, Boynton Beach, FL 33426 Phone: 561-517-2699
Ms. Rose Marie Lott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5025 Ashley Lake Dr # 2-013, Boynton Beach, FL 33437 Phone: 863-801-8195

Mr Kyle Short, - Medicare Counselor in Boynton Beach, FL