Kyle Wayne Herbold, MD in Stockton, CA

Kyle Wayne Herbold, MD is a medicare enrolled "Dermatology" physician in Stockton, California. He went to Yale University School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Golden State Dermatology Associates, Inc. and his current practice location is 4553 Quail Lakes Dr, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 951-1133.

Kyle Wayne Herbold is licensed to practice in California (license number A068815) 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 1568407013.

Contact Information

	Kyle Wayne Herbold, MD
	4553 Quail Lakes Dr, Stockton, CA 95207
	(209) 951-1133
	(209) 951-4708

Map and Direction

Physician's Profile

Full Name	Kyle Wayne Herbold
Gender	Male
Speciality	Dermatology
Experience	30 Years
Location	4553 Quail Lakes Dr, Stockton, California
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 Wayne Herbold attended and graduated from Yale University School Of Medicine in 1995

NPI Data:

NPI Number: 1568407013
Provider Enumeration Date: 06/18/2006
Last Update Date: 07/13/2007

Medicare PECOS Information:

PECOS PAC ID: 5799766796
Enrollment ID: I20041021001093

Medical Identifiers

Medical identifiers for Kyle Wayne Herbold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568407013	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A068815 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Golden State Dermatology Associates, Inc.	1052418175	89

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 Wayne Herbold allows following entities to bill medicare on his behalf.

Entity Name	Golden State Dermatology Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605

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 Wayne Herbold 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 Wayne Herbold, MD 4553 Quail Lakes Dr, Stockton, CA 95207 Ph: (209) 951-1133	Kyle Wayne Herbold, MD 4553 Quail Lakes Dr, Stockton, CA 95207 Ph: (209) 951-1133

Reviews and Comments

Dermatology Doctors in Stockton, CA

Moses Elam, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Stuart I Jacobs, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5345 N El Dorado St, Ste 12, Stockton, CA 95207 Phone: 209-957-6662 Fax: 209-957-0310
Karen B. Bissell, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Elizabeth M. Kass, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Amanzoopinder Samrao, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2166
Gerald N Bock, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 St Marks Plaza, C, Stockton, CA 95207 Phone: 209-956-4260 Fax: 209-475-6002
Walter Stanley Yourchek, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4553 Quail Lakes Dr, Stockton, CA 95207 Phone: 209-951-1133 Fax: 209-951-4708

Kyle Wayne Herbold, MD - Medicare Dermatology in Stockton, CA