Kyle R Clark, PA-C - Medicare Physician Assistant in Rockford, IL

Kyle R Clark, PA-C is a medicare enrolled "Physician Assistant" in Rockford, Illinois. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Osf Multi-specialty Group and his current practice location is 5666 E State St, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 226-2000.

Kyle R Clark is licensed to practice in Illinois (license number 085.007488) 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 1801415864.

Contact Information

Kyle R Clark, PA-C
5666 E State St,
Rockford, IL 61108-2425
(815) 226-2000
Not Available

Map and Direction




Provider's Profile

Full NameKyle R Clark
GenderMale
SpecialityPhysician Assistant
Experience5 Years
Location5666 E State St, Rockford, Illinois
Accepts Medicare AssignmentsYes. 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 R Clark graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1801415864
  • Provider Enumeration Date: 04/10/2020
  • Last Update Date: 04/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0648692038
  • Enrollment ID: I20200611001994

Medical Identifiers

Medical identifiers for Kyle R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801415864NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085.007488 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891552

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 R Clark 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 R Clark, PA-C
1395 Jay St,
Freeport, IL 61032-8424

Ph: (815) 291-4052
Kyle R Clark, PA-C
5666 E State St,
Rockford, IL 61108-2425

Ph: (815) 226-2000

Reviews and Comments


Physician Assistant Nurses in Rockford, IL

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Phone: 815-490-1600    Fax: 815-490-1881

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.