Kyle Fetterolf, PA - Medicare Physician Assistant in Wilkes Barre, PA

Kyle Fetterolf, PA is a medicare enrolled "Physician Assistant" in Wilkes Barre, Pennsylvania. His current practice location is 575 N River St, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 270-9192.

Kyle Fetterolf is licensed to practice in Pennsylvania (license number MA001889L) 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 1477529501.

Contact Information

Kyle Fetterolf, PA
575 N River St,
Wilkes Barre, PA 18764-0999
(570) 270-9192
Not Available

Map and Direction




Provider's Profile

Full NameKyle Fetterolf
GenderMale
SpecialityPhysician Assistant
Location575 N River St, Wilkes Barre, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477529501
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 05/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163423195
  • Enrollment ID: I20070118000165

Medical Identifiers

Medical identifiers for Kyle Fetterolf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477529501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant MA001889L (Pennsylvania)Primary

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 Fetterolf 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 AddressPractice Location Address
Kyle Fetterolf, PA
Po Box 349,
Dunmore, PA 18512-0349

Ph: () -
Kyle Fetterolf, PA
575 N River St,
Wilkes Barre, PA 18764-0999

Ph: (570) 270-9192

Reviews and Comments


Physician Assistant Nurses in Wilkes Barre, PA

Nicholas Charles James, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711
Phone: 570-824-3451    
Mrs. Channing Elizabeth Boback, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 675 Baltimore Dr, Wilkes Barre, PA 18702
Phone: 570-808-1000    Fax: 570-808-7698
Mr. Douglas W. Long, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-820-6020    Fax: 570-821-2306
Miss Erin Corrine Neuner, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E. Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7861    
Julianna Rae Haas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 268 Highland Park Blvd, Wilkes Barre, PA 18702
Phone: 570-822-8831    
Ms. April Dawn Gonzales,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711
Phone: 570-808-7399    Fax: 570-808-5942
Rachel M. Yenkowski, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702
Phone: 570-808-5135    Fax: 570-808-5136

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.