Dr Kyle Nathaniel Correll, MD in Daytona Beach, FL

Dr Kyle Nathaniel Correll, MD is a medicare enrolled "Family Medicine" physician in Daytona Beach, Florida. His current practice location is 201 N Clyde Morris Blvd Ste 200, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 254-4165.

Dr Kyle Nathaniel Correll is licensed to practice in Florida (license number 21903) 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 1093195398.

Contact Information

	Dr Kyle Nathaniel Correll, MD
	201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114-2765
	(386) 254-4165
	(386) 254-4339

Map and Direction

Physician's Profile

Full Name	Dr Kyle Nathaniel Correll
Gender	Male
Speciality	Family Medicine
Location	201 N Clyde Morris Blvd Ste 200, Daytona Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093195398
Provider Enumeration Date: 06/02/2015
Last Update Date: 06/02/2015

Medicare PECOS Information:

PECOS PAC ID: 2264746320
Enrollment ID: I20180125001478

Medical Identifiers

Medical identifiers for Dr Kyle Nathaniel Correll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093195398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	21903 (Florida)	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 Nathaniel Correll allows following entities to bill medicare on his behalf.

Entity Name	Halifax Healthcare Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443

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 Nathaniel Correll 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 Nathaniel Correll, MD 3775 Timothy Ln, Bethlehem, PA 18020-6962 Ph: (484) 695-0720	Dr Kyle Nathaniel Correll, MD 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114-2765 Ph: (386) 254-4165

Reviews and Comments

Family Medicine Doctors in Daytona Beach, FL

Lindsay Marie Podhajsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4165
Ejaz Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-506-8555 Fax: 386-944-9944
Dr. Margaret Crossman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 North Clyde Morris Blvd., Suite 200, Halifax Family Health Center, Daytona Beach, FL 32114 Phone: 386-947-4665 Fax: 386-258-4891
Mr. Luther St. James Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, 170, Daytona Beach, FL 32117 Phone: 386-274-3354 Fax: 386-274-5564
Dr. Joshua Robert Eisenhut, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117 Phone: 386-231-3570 Fax: 386-231-3571
Kenneth J Lucas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 N Clyde Morris Blvd, 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 386-254-7507
Dr. Jose Omar Burgos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114 Phone: 386-425-4165 Fax: 386-425-7545

Dr Kyle Nathaniel Correll, MD - Medicare Family Medicine in Daytona Beach, FL