Kylie Lynn Kretz, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Dayton, Ohio. Her current practice location is
1775 Delco Park Dr, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 299-2339.
Kylie Lynn Kretz is licensed to practice in Texas (license number 1151214) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750061917.
Physician's Profile
| Full Name | Kylie Lynn Kretz |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 1775 Delco Park Dr, Dayton, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750061917
- Provider Enumeration Date: 07/24/2023
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789025107
- Enrollment ID: I20240515003311
Medical Identifiers
Medical identifiers for Kylie Lynn Kretz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750061917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | APRN.CNP.0028452 (Ohio) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 1151214 (Texas) | Primary |
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. Kylie Lynn Kretz allows following entities to bill medicare on her behalf.
| Entity Name | Community Medicine Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245313329
PECOS PAC ID: 7719979509
Enrollment ID: O20040401000372 |
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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. Kylie Lynn Kretz 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 |
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Kylie Lynn Kretz, APRN
3000 Sonoma Blvd,
Schertz, TX 78154-2096
Ph: (570) 956-5042 | Kylie Lynn Kretz, APRN
1775 Delco Park Dr,
Dayton, OH 45420-1398
Ph: (937) 299-2339 |
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