Kyle D Kakac, MD is a medicare enrolled "Hospitalist" physician in Fairfield, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2001 and has 23 years of diverse experience with area of expertise as Emergency Medicine. 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 | Emergency Medicine |
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Experience | 23 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. |
Medical Education and Training:
- Kyle D Kakac attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2001
NPI Data:
- NPI Number: 1831297761
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 02/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 8921043050
- Enrollment ID: I20160208000127
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 |
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. Kyle D Kakac allows following entities to bill medicare on his behalf.
Entity Name | Lone Peak Inpatient Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376952119 PECOS PAC ID: 0143544460 Enrollment ID: O20150115000590 |
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Entity Name | Emergency Medicine Services Of Tn, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720785884 PECOS PAC ID: 3173989837 Enrollment ID: O20230523000265 |
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Entity Name | Nashwell, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427831098 PECOS PAC ID: 7214384676 Enrollment ID: O20231107003712 |
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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 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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