Kyle D Kakac, MD is a medicare enrolled "Hospitalist" physician in Fairfield, Illinois. His current practice location is
303 Nw 11th St, Fairfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 842-2611.
Kyle D Kakac is licensed to practice in Illinois (license number 036116009) 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 1831297761.
Physician's Profile
| Full Name | Kyle D Kakac |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 303 Nw 11th St, Fairfield, Illinois |
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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 D Kakac attended and graduated from in
NPI Data:
- NPI Number: 1831297761
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 02/10/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kyle D Kakac such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831297761 | NPI | - | NPPES |
| 1534607 | Medicaid | TN | |
| 200522020 | Medicaid | IN | |
| 3932056 | Other | IL | BLUE SHIELD |
| 036116009-4 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 01057262 (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 036116009 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036-116009 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036116009 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 41240 (Tennessee) | Secondary |
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 D Kakac 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 D Kakac, MD
303 Nw 11th St,
Fairfield, IL 62837-1203
Ph: (618) 847-8260 | Kyle D Kakac, MD
303 Nw 11th St,
Fairfield, IL 62837-1203
Ph: (618) 842-2611 |
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