Kyle Blasser, DO is a medicare enrolled "Internal Medicine" physician in Patrick Afb, Florida. He went to Campbell Univ School Of Osteopathic Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is
1381 S Patrick Dr, Patrick Afb, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 494-8241.
Kyle Blasser is licensed to practice in Ohio (license number 34.015266) 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 1285132852.
Physician's Profile
| Full Name | Kyle Blasser |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 6 Years |
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| Location | 1381 S Patrick Dr, Patrick Afb, Florida |
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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 Blasser attended and graduated from Campbell Univ School Of Osteopathic Medicine in 2018
NPI Data:
- NPI Number: 1285132852
- Provider Enumeration Date: 01/29/2018
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274880950
- Enrollment ID: I20220124001214
Medical Identifiers
Medical identifiers for Kyle Blasser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285132852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 34.015266 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 34.015266 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kettering Independent Medical Group Inc | 3173710936 | 577 |
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. Kyle Blasser allows following entities to bill medicare on his behalf.
| Entity Name | Alliance Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529 |
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| Entity Name | Kettering Independent Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425 |
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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. Kyle Blasser 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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Kyle Blasser, DO
1381 S Patrick Dr,
Patrick Afb, FL 32925-3606
Ph: () - | Kyle Blasser, DO
1381 S Patrick Dr,
Patrick Afb, FL 32925-3606
Ph: (321) 494-8241 |
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