Zachary Kyle, is a medicare enrolled "Social Worker - Clinical" provider in Fort Wayne, Indiana. He graduated from healthcare school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Northeastern Center, Inc, County Of Crawford and his current practice location is
3512 Stellhorn Rd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 483-9081.
Zachary Kyle is licensed to practice in Indiana (license number 34008261A) 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 1104294180.
Healthcare Provider's Profile
Full Name | Zachary Kyle |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 9 Years |
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Location | 3512 Stellhorn Rd, Fort Wayne, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Zachary Kyle graduated from medical school in 2015
NPI Data:
- NPI Number: 1104294180
- Provider Enumeration Date: 09/09/2015
- Last Update Date: 06/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 4789919176
- Enrollment ID: I20190708001034
Medical Identifiers
Medical identifiers for Zachary Kyle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104294180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 34008261A (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northeastern Center, Inc | 6709795636 | 19 |
County Of Crawford | 3173427747 | 9 |
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. Zachary Kyle allows following entities to bill medicare on his behalf.
Entity Name | Northeastern Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720140908 PECOS PAC ID: 6709795636 Enrollment ID: O20040605000289 |
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Entity Name | Extended Care Specialists, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726 |
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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. Zachary Kyle 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 |
Zachary Kyle, Po Box 392552, Pittsburgh, PA 15251-9500 Ph: (512) 575-8028 | Zachary Kyle, 3512 Stellhorn Rd, Fort Wayne, IN 46815 Ph: (260) 483-9081 |
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