Kyle Kreulen, is a medicare enrolled "Physician Assistant" physician in Benton, Arkansas. His current practice location is
3714 Grand Oaks Dr, Benton, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 517-7004.
Kyle Kreulen is licensed to practice in Arkansas (license number PA-907) 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 1912463902.
Physician's Profile
Full Name | Kyle Kreulen |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 3714 Grand Oaks Dr, Benton, Arkansas |
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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: 1912463902
- Provider Enumeration Date: 02/14/2019
- Last Update Date: 09/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921405275
- Enrollment ID: I20210929000903
Medical Identifiers
Medical identifiers for Kyle Kreulen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912463902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RR0500X | Internal Medicine - Rheumatology | PA-907 (Arkansas) | Secondary |
363A00000X | Physician Assistant | PA-907 (Arkansas) | 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 Kreulen 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 Kreulen, 3714 Grand Oaks Dr, Benton, AR 72019-2045 Ph: (501) 517-7004 | Kyle Kreulen, 3714 Grand Oaks Dr, Benton, AR 72019-2045 Ph: (501) 517-7004 |
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