Mr Kyle Leland Horner, MD is a medicare enrolled "Dermatology" physician in Lebanon, Oregon. He went to Washington University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Dermatology. His current practice location is
2500 S. Main Road, Lebanon, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 258-7546.
Mr Kyle Leland Horner is licensed to practice in Oregon (license number MD153145) 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 1528124195.
Physician's Profile
Full Name | Mr Kyle Leland Horner |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 19 Years |
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Location | 2500 S. Main Road, Lebanon, Oregon |
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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:
- Mr Kyle Leland Horner attended and graduated from Washington University School Of Medicine in 2005
NPI Data:
- NPI Number: 1528124195
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 04/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 2062543192
- Enrollment ID: I20110803000693
Medical Identifiers
Medical identifiers for Mr Kyle Leland Horner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528124195 | NPI | - | NPPES |
500633817 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | MD153145 (Oregon) | 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 Kyle Leland Horner allows following entities to bill medicare on his behalf.
Entity Name | Grace Dermatology & Micrographic Surgery Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184973828 PECOS PAC ID: 6800047895 Enrollment ID: O20121126000317 |
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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 Kyle Leland Horner 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 Kyle Leland Horner, MD 2500 S. Main Road, Lebanon, OR 97355 Ph: (541) 258-7546 | Mr Kyle Leland Horner, MD 2500 S. Main Road, Lebanon, OR 97355 Ph: (541) 258-7546 |
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