Dr Kyle Haverstrom, DPM in Largo, FL - Medicare Podiatry Provider

Dr Kyle Haverstrom, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Largo, Florida. He went to Barry University School Of Podiatric Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice All Podiatry Group Inc. and his current practice location is 11200 Seminole Blvd Ste 305, Largo, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 431-9552.

Dr Kyle Haverstrom is licensed to practice in Florida (license number PO4312) 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 1649791369.

Contact Information

	Dr Kyle Haverstrom, DPM
	11200 Seminole Blvd Ste 305, Largo, FL 33778-3239
	(727) 431-9552
	(727) 290-4376

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kyle Haverstrom
Gender	Male
Speciality	Podiatry
Experience	7 Years
Location	11200 Seminole Blvd Ste 305, Largo, Florida
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:

Dr Kyle Haverstrom attended and graduated from Barry University School Of Podiatric Medicine in 2017

NPI Data:

NPI Number: 1649791369
Provider Enumeration Date: 07/03/2017
Last Update Date: 08/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8729322136
Enrollment ID: I20210726002208

Medical Identifiers

Medical identifiers for Dr Kyle Haverstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649791369	NPI	-	NPPES
111187000	Medicaid	FL
5G5CI	Other	FL	BCBS
14929205	Other		CAQH ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	PO4312 (Florida)	Secondary
213EP1101X	Podiatrist - Primary Podiatric Medicine	PO4312 (Florida)	Secondary
213ES0000X	Podiatrist - Sports Medicine	PO4312 (Florida)	Secondary
213ES0131X	Podiatrist - Foot Surgery	PO4312 (Florida)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	PO4312 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Largo Medical Center	Largo, FL	Hospital
Northside Hospital	Saint petersburg, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
All Podiatry Group Inc.	0042252140	18

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. Dr Kyle Haverstrom allows following entities to bill medicare on his behalf.

Provider Name	All Podiatry Group Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437207933 PECOS PAC ID: 0042252140 Enrollment ID: O20050531000341

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. Dr Kyle Haverstrom 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
Dr Kyle Haverstrom, DPM 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773 Ph: (813) 400-1140	Dr Kyle Haverstrom, DPM 11200 Seminole Blvd Ste 305, Largo, FL 33778-3239 Ph: (727) 431-9552

Reviews and Comments

Podiatrist in Largo, FL

John Rafael Constantino, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12416 66th St Ste A, Largo, FL 33773 Phone: 727-547-4700 Fax: 727-394-8661
Dr. Adam D Perler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12416 66th Street N, Suite A, Largo, FL 33773 Phone: 727-547-4700 Fax: 727-394-8661
Michael Gary Demner, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8787 Bryan Dairy Rd, Suite 350, Largo, FL 33777 Phone: 727-391-1913 Fax: 727-319-2713
Worman Foot And Ankle Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7500 Bryan Dairy Rd, Largo, FL 33777 Phone: 727-547-0000 Fax: 727-547-0008
Dpmwernernrfl Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12680 95th St, Largo, FL 33773 Phone: 727-742-4460
Irwin I. Ayes D.p.m. Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12001 94th St, Largo, FL 33773 Phone: 727-393-8269 Fax: 888-361-9623
Dale R. Monast Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1680 W Bay Dr, Largo, FL 33770 Phone: 727-586-3668 Fax: 727-588-0490

Dr Kyle Haverstrom, DPM - Medicare Podiatrist in Largo, FL