Mr Kevin M Kiley, MD is a medicare enrolled "Family Medicine" physician in North Muskegon, Michigan. His current practice location is
1909 Ruddiman Drive, North Muskegon, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 744-5577.
Mr Kevin M Kiley is licensed to practice in Michigan (license number 4301052245) 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 1063426468.
Physician's Profile
Full Name | Mr Kevin M Kiley |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 1909 Ruddiman Drive, North Muskegon, 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: 1063426468
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 02/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 5496652232
- Enrollment ID: I20031218000454
Medical Identifiers
Medical identifiers for Mr Kevin M Kiley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063426468 | NPI | - | NPPES |
4556422 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4301052245 (Michigan) | 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. Mr Kevin M Kiley allows following entities to bill medicare on his behalf.
Entity Name | Mercy Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20040308000687 |
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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. Mr Kevin M Kiley 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 |
Mr Kevin M Kiley, MD Po Box 1848, Muskegon, MI 49443-1848 Ph: (231) 727-5211 | Mr Kevin M Kiley, MD 1909 Ruddiman Drive, North Muskegon, MI 49445 Ph: (231) 744-5577 |
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