Kyle Shepperson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Maryville, Illinois. His current practice location is
6810 State Route 162, Suite 10, Maryville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 288-2020.
Kyle Shepperson is licensed to practice in Illinois (license number 036108702) 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 1407831704.
Physician's Profile
Full Name | Kyle Shepperson |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 6810 State Route 162, Maryville, Illinois |
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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. |
Medical Education and Training:
- Kyle Shepperson attended and graduated from in
NPI Data:
- NPI Number: 1407831704
- Provider Enumeration Date: 12/08/2005
- Last Update Date: 03/17/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kyle Shepperson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407831704 | NPI | - | NPPES |
036108702 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 036108702 (Illinois) | 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 Shepperson 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 Shepperson, MD 6810 State Route 162 Box 215, Maryville, IL 62062-8501 Ph: (618) 391-6405 | Kyle Shepperson, MD 6810 State Route 162, Suite 10, Maryville, IL 62062 Ph: (618) 288-2020 |
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