Dr Kyle Hoedebecke, MD is a medicare enrolled "Family Medicine" physician in Sagle, Idaho. His current practice location is
929 Irish Rd, Sagle, Idaho. You can reach out to his office (for appointments etc.) via phone at
(307) 284-3227.
Dr Kyle Hoedebecke is licensed to practice in Texas (license number U0489) 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 1063725695.
Physician's Profile
| Full Name | Dr Kyle Hoedebecke |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 929 Irish Rd, Sagle, Idaho |
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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: 1063725695
- Provider Enumeration Date: 07/25/2010
- Last Update Date: 12/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931560216
- Enrollment ID: I20230802003708
Medical Identifiers
Medical identifiers for Dr Kyle Hoedebecke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063725695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 167601 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | U0489 (Texas) | 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 Hoedebecke allows following entities to bill medicare on his behalf.
| Entity Name | Mrg Health Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013779883
PECOS PAC ID: 6002354891
Enrollment ID: O20240812001664 |
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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 Hoedebecke 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 Hoedebecke, MD
31014 Timber Bend Ln,
Spring, TX 77386-4400
Ph: (409) 218-3296 | Dr Kyle Hoedebecke, MD
929 Irish Rd,
Sagle, ID 83860-5031
Ph: (307) 284-3227 |
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