Kyle S Ettinger, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Rochester, Minnesota. His current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 284-2511.
Kyle S Ettinger is licensed to practice in Minnesota (license number 59378) 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 1881989234.
Healthcare Provider's Profile
| Full Name | Kyle S Ettinger |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 200 1st St Sw, Rochester, Minnesota |
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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. |
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Medical Education and Training:
- Kyle S Ettinger attended and graduated from in
NPI Data:
- NPI Number: 1881989234
- Provider Enumeration Date: 06/14/2011
- Last Update Date: 08/13/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kyle S Ettinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881989234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | D13023 (Minnesota) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | D13023 (Minnesota) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 59378 (Minnesota) | 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. Kyle S Ettinger 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 |
|---|
Kyle S Ettinger, DDS
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Kyle S Ettinger, DDS
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 |
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