Kyle Iverson, is a medicare enrolled "Surgery" physician in Apo, Mississippi. His current practice location is
Raf Lakenheath 48mdg/sghc, Unit 5115, Apo, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(864) 608-1795.
Kyle Iverson is licensed to practice in Virginia (license number 0101256367) 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 1639460397.
Physician's Profile
Full Name | Kyle Iverson |
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Gender | Male |
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Speciality | Surgery |
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Location | Raf Lakenheath 48mdg/sghc, Apo, Mississippi |
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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: 1639460397
- Provider Enumeration Date: 04/28/2011
- Last Update Date: 07/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305078114
- Enrollment ID: I20210708001650
Medical Identifiers
Medical identifiers for Kyle Iverson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639460397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 28433 (Mississippi) | Secondary |
208600000X | Surgery | 0101256367 (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 Iverson allows following entities to bill medicare on his behalf.
Entity Name | Memorial Hospital At Gulfport |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
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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 Iverson 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 Iverson, Raf Lakenheath 48mdg/sghc, Unit 5115, Apo, MS 39534-2508 Ph: () - | Kyle Iverson, Raf Lakenheath 48mdg/sghc, Unit 5115, Apo, MS 39534-2508 Ph: (864) 608-1795 |
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