Dr Kyle Bryan Frazier, DDS in Wilkes Barre, PA

Dr Kyle Bryan Frazier, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Wilkes Barre, Pennsylvania. His current practice location is 675 Baltimore Dr, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 808-5626.

Dr Kyle Bryan Frazier is licensed to practice in Pennsylvania (license number DS043990) 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 1003102435.

Contact Information

	Dr Kyle Bryan Frazier, DDS
	675 Baltimore Dr, Wilkes Barre, PA 18702-7900
	(570) 808-5626
	(570) 808-6352

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kyle Bryan Frazier
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	675 Baltimore Dr, Wilkes Barre, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003102435
Provider Enumeration Date: 06/23/2011
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3375709587
Enrollment ID: I20230803002391

Medical Identifiers

Medical identifiers for Dr Kyle Bryan Frazier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003102435	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	27097 (Texas)	Secondary
1223P0106X	Dentist - Oral And Maxillofacial Pathology	27097 (Texas)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	27097 (Texas)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DS043990 (Pennsylvania)	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 Bryan Frazier allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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 Bryan Frazier 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 Bryan Frazier, DDS Po Box 844658, Dallas, TX 75284-4658 Ph: () -	Dr Kyle Bryan Frazier, DDS 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 Ph: (570) 808-5626

Reviews and Comments

Dentist in Wilkes Barre, PA

Dr. Steven Anthony Bonomo, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 369 S Main St, Wilkes Barre, PA 18701 Phone: 570-829-7863 Fax: 570-822-7478
Dr. Meghan K Tsakalos, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 29 Bear Creek Blvd, Wilkes Barre, PA 18702 Phone: 570-550-0893
Dr. Pasquale Carmen Damico, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 190 N Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-970-2864
Scott Peters, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-819-5626 Fax: 570-808-6352
Mr. Ahmed Amer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 East End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521
Un Chong Tam, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521

Dr Kyle Bryan Frazier, DDS - Medicare Dentist in Wilkes Barre, PA