Kyle F Fort, MD is a medicare enrolled "Urology" physician in Ronceverte, West Virginia. His current practice location is
1521 Maplewood Ave, Ronceverte, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 647-5642.
Kyle F Fort is licensed to practice in West Virginia (license number 13512) 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 1578559696.
Physician's Profile
Full Name | Kyle F Fort |
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Gender | Male |
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Speciality | Urology |
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Location | 1521 Maplewood Ave, Ronceverte, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578559696
- Provider Enumeration Date: 09/23/2005
- Last Update Date: 09/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183526155
- Enrollment ID: I20041001000389
Medical Identifiers
Medical identifiers for Kyle F Fort such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578559696 | NPI | - | NPPES |
0131032000 | Medicaid | WV | |
007500513 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 13512 (West Virginia) | 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. Kyle F Fort allows following entities to bill medicare on his behalf.
Entity Name | Ronceverte Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306170048 PECOS PAC ID: 3072652767 Enrollment ID: O20091210000009 |
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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 F Fort 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 F Fort, MD 176 Dawkins Dr, Lewisburg, WV 24901-9302 Ph: (304) 647-4411 | Kyle F Fort, MD 1521 Maplewood Ave, Ronceverte, WV 24970-8026 Ph: (304) 647-5642 |
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