Dr Kyle Anthony Mulder, DDS in Grand Ledge, MI

Dr Kyle Anthony Mulder, DDS is a medicare enrolled "Dentist" provider in Grand Ledge, Michigan. His current practice location is 416 E River St, Grand Ledge, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 627-9081.

Dr Kyle Anthony Mulder is licensed to practice in Michigan (license number 2901600526) 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 1881201564.

Contact Information

	Dr Kyle Anthony Mulder, DDS
	416 E River St, Grand Ledge, MI 48837-1764
	(517) 627-9081
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kyle Anthony Mulder
Gender	Male
Speciality	Dentist
Location	416 E River St, Grand Ledge, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881201564
Provider Enumeration Date: 09/28/2020
Last Update Date: 09/28/2020

Medicare PECOS Information:

PECOS PAC ID: 5698187490
Enrollment ID: I20210104001436

Medical Identifiers

Medical identifiers for Dr Kyle Anthony Mulder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881201564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901600526 (Michigan)	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. Dr Kyle Anthony Mulder allows following entities to bill medicare on his behalf.

Entity Name	Grand Ledge Family Dentistry Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972199156 PECOS PAC ID: 6406269828 Enrollment ID: O20210104001364

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. Dr Kyle Anthony Mulder 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
Dr Kyle Anthony Mulder, DDS 513 S Bridge St, Grand Ledge, MI 48837-1503 Ph: (517) 881-0561	Dr Kyle Anthony Mulder, DDS 416 E River St, Grand Ledge, MI 48837-1764 Ph: (517) 627-9081

Reviews and Comments

Dentist in Grand Ledge, MI

Jacob Williams, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Bouck Ave, Grand Ledge, MI 48837 Phone: 517-256-9840
Nicole East, Dentist Medicare: Not Enrolled in Medicare Practice Location: 312 Taylor St, Grand Ledge, MI 48837 Phone: 517-627-2061
Dr. David Edward Szczesny, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 W Saginaw Hwy, Grand Ledge, MI 48837 Phone: 517-627-7000 Fax: 517-627-3785
Edward Patrick Troshak, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 850 E Saginaw Hwy, Suite E, Grand Ledge, MI 48837 Phone: 517-627-3271 Fax: 517-627-1775
Dr. James Anthony Voltattorni, DDS Dentist Medicare: Medicare Enrolled Practice Location: 312 Taylor, Grand Ledge, MI 48837 Phone: 517-627-2061 Fax: 517-622-3831
Dr. William Louis Brooks, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 118 S Bridge St, Grand Ledge, MI 48837 Phone: 517-627-4027 Fax: 517-627-6121
Dr. Todd Kelby Baum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 118 S Bridge St, Grand Ledge, MI 48837 Phone: 517-627-4027 Fax: 517-627-6121

Dr Kyle Anthony Mulder, DDS - Medicare Dentist in Grand Ledge, MI