Kyle Stang, MEDICAL STUDENT is a medicare enrolled "Radiology - Radiation Oncology" physician in Bloomington, Illinois. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice St. Joseph Medical Center and his current practice location is
2200 E Washington St, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 662-3311.
Kyle Stang is licensed to practice in Illinois (license number 036157009) 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 1750743134.
Physician's Profile
Full Name | Kyle Stang |
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Gender | Male |
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Speciality | Radiation Oncology |
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Experience | 8 Years |
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Location | 2200 E Washington St, Bloomington, 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 Stang attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2016
NPI Data:
- NPI Number: 1750743134
- Provider Enumeration Date: 03/24/2016
- Last Update Date: 08/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658643317
- Enrollment ID: I20210714001664
Medical Identifiers
Medical identifiers for Kyle Stang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750743134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 036157009 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St. Joseph Medical Center | 8921901620 | 2 |
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 Stang allows following entities to bill medicare on his behalf.
Entity Name | St. Joseph Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871547414 PECOS PAC ID: 8921901620 Enrollment ID: O20040129001106 |
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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 Stang 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 Stang, MEDICAL STUDENT 2200 E Washington St, Bloomington, IL 61701-4364 Ph: () - | Kyle Stang, MEDICAL STUDENT 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 662-3311 |
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