Kyle D Johnson, MD is a medicare enrolled "Otolaryngology" physician in West Fargo, North Dakota. His current practice location is
350 23rd Avenue E, Ste 102, West Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 235-1924.
Kyle D Johnson is licensed to practice in North Dakota (license number 14194) 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 1588959472.
Physician's Profile
| Full Name | Kyle D Johnson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 350 23rd Avenue E, West Fargo, North Dakota |
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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 Johnson attended and graduated from in
NPI Data:
- NPI Number: 1588959472
- Provider Enumeration Date: 06/18/2011
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kyle D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588959472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 14194 (North Dakota) | Primary |
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 Johnson 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 Johnson, MD
350 23rd Avenue E, Ste 102,
West Fargo, ND 58078-7402
Ph: (701) 235-1924 | Kyle D Johnson, MD
350 23rd Avenue E, Ste 102,
West Fargo, ND 58078-7402
Ph: (701) 235-1924 |
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