Kyle Ralston, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Flint, Michigan. His current practice location is
401 S Ballenger Hwy, Flint, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 342-2000.
Kyle Ralston is licensed to practice in Michigan (license number 4351044250) 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 1245891779.
Physician's Profile
Full Name | Kyle Ralston |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 401 S Ballenger Hwy, Flint, Michigan |
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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: 1245891779
- Provider Enumeration Date: 06/25/2019
- Last Update Date: 06/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103151535
- Enrollment ID: I20190708002254
Medical Identifiers
Medical identifiers for Kyle Ralston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245891779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 4351044250 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 4351044250 (Michigan) | 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 Ralston 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 Ralston, MD 401 S Ballenger Hwy, Flint, MI 48532-3638 Ph: (810) 342-2000 | Kyle Ralston, MD 401 S Ballenger Hwy, Flint, MI 48532-3638 Ph: (810) 342-2000 |
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