Dr Kyle Groom, DO is a medicare enrolled "Family Medicine" physician in De Kalb, Texas. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 1999 and has 25 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Midsouth Transitions Medical Group, Midsouth Transitions Medical Group and his current practice location is
216 N Centre St, De Kalb, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 667-2273.
Dr Kyle Groom is licensed to practice in Texas (license number L5749) 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 1063413656.
Physician's Profile
| Full Name | Dr Kyle Groom |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 25 Years |
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| Location | 216 N Centre St, De Kalb, Texas |
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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:
- Dr Kyle Groom attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 1999
NPI Data:
- NPI Number: 1063413656
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 02/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264424456
- Enrollment ID: I20040330001205
Medical Identifiers
Medical identifiers for Dr Kyle Groom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063413656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | L5749 (Texas) | Primary |
| 207P00000X | Emergency Medicine | L5749 (Texas) | Secondary |
Medical Facilities Affiliation
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 Groom allows following entities to bill medicare on his behalf.
| Entity Name | Dekalb Physicians Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265565691
PECOS PAC ID: 0244264216
Enrollment ID: O20050920000946 |
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| Entity Name | Midsouth Transitions Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790262681
PECOS PAC ID: 8628322831
Enrollment ID: O20181106002557 |
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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. Dr Kyle Groom 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 |
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Dr Kyle Groom, DO
216 N Centre St,
De Kalb, TX 75559-1406
Ph: (903) 667-2273 | Dr Kyle Groom, DO
216 N Centre St,
De Kalb, TX 75559-1406
Ph: (903) 667-2273 |
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