Kyle Lawrence Crandall, DMD in Apo, AA - Medicare Dentist Provider

Kyle Lawrence Crandall, DMD is a medicare enrolled "Dentist - General Practice" provider in Apo, Armed Forces Americas. His current practice location is 2954 Carrington Rd, Apo, Armed Forces Americas. You can reach out to his office (for appointments etc.) via phone at (915) 742-3303.

Kyle Lawrence Crandall is licensed to practice in Texas (license number 34248) 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 1689168577.

Contact Information

	Kyle Lawrence Crandall, DMD
	2954 Carrington Rd, Apo, AA 79916
	(915) 742-3303
	Not Available

Healthcare Provider's Profile

Full Name	Kyle Lawrence Crandall
Gender	Male
Speciality	Dentist - General Practice
Location	2954 Carrington Rd, Apo, Armed Forces Americas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689168577
Provider Enumeration Date: 06/14/2018
Last Update Date: 08/20/2018

Medicare PECOS Information:

PECOS PAC ID: 2264812916
Enrollment ID: I20220712001393

Medical Identifiers

Medical identifiers for Kyle Lawrence Crandall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689168577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	34248 (Texas)	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 Lawrence Crandall 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
Kyle Lawrence Crandall, DMD 2954 Carrington Rd, Fort Bliss, TX 79916 Ph: (915) 742-3303	Kyle Lawrence Crandall, DMD 2954 Carrington Rd, Apo, AA 79916 Ph: (915) 742-3303

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Dentist in Apo, AA

True Xiong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 Phone: 847-688-3331
Dr. Robert Harris Range, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: Us Army Fort Drum Stone Dental Clinic, 10590 Enduring Freedom Drive, Apo, AA 13602 Phone: 315-772-5576
Dr. Jacob Steven Blackhurst, DDS Dentist Medicare: Medicare Enrolled Practice Location: Bldg 4-1838 Normandy Dr, Apo, AA 28307 Phone: 910-432-6190
Dr. Tad Christian Tholstrom, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 48 Mdg, Unit 5115, Apo, AA 09461 Phone: 441-480-824585
Dr. Sara Kingston, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Offutt Afb 55th Dental Squadron, 2501 Capehart Road, Apo, AA 68113 Phone: 402-232-2273
Christina Belousov, DDS, MBS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14351 Battalion Ave, Apo, AA 76544 Phone: 254-288-7848
Samuel Jun Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 21227 Torch St, Apo, AA 79918 Phone: 915-742-4248

Kyle Lawrence Crandall, DMD - Medicare Dentist in Apo, AA