Dr Kyle T Fukano, DDS is a medicare enrolled "Dentist" provider in Freeland, Washington. His current practice location is
1684 Main St, Suite 4, Freeland, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 331-5211.
Dr Kyle T Fukano is licensed to practice in Washington (license number DE00008801) 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 1407951973.
Healthcare Provider's Profile
| Full Name | Dr Kyle T Fukano |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 1684 Main St, Freeland, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407951973
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 12/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 1153627591
- Enrollment ID: I20160310000393
Medical Identifiers
Medical identifiers for Dr Kyle T Fukano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407951973 | NPI | - | NPPES |
| DE00008801 | Other | WA | DDS LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DE00008801 (Washington) | Primary |
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 T Fukano 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 T Fukano, DDS
Po Box 729,
Freeland, WA 98249-0729
Ph: (360) 331-5211 | Dr Kyle T Fukano, DDS
1684 Main St, Suite 4,
Freeland, WA 98249
Ph: (360) 331-5211 |
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