Kyle Cleasby, in Fargo, ND - Medicare Student in an Organized Health Care Education/Training Program

Kyle Cleasby, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fargo, North Dakota. His current practice location is 1919 Elm St N, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 293-4113.

Kyle Cleasby is licensed to practice in * (Not Available) (license number ) 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 1093375370.

Contact Information

	Kyle Cleasby,
	1919 Elm St N, Fargo, ND 58102-2416
	(701) 293-4113
	(701) 293-4109

Physician's Profile

Full Name	Kyle Cleasby
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1919 Elm St N, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093375370
Provider Enumeration Date: 06/18/2019
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 3173989522
Enrollment ID: I20230510001235

Medical Identifiers

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

Identifier	Type	State	Issuer
1093375370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	18990 (North Dakota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Kyle Cleasby allows following entities to bill medicare on his behalf.

Entity Name	Badlands Human Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124072525 PECOS PAC ID: 9739085499 Enrollment ID: O20031211000947

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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. Kyle Cleasby 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 Cleasby, 1463 I94 Business Loop E, Dickinson, ND 58601-6434 Ph: (701) 227-7500	Kyle Cleasby, 1919 Elm St N, Fargo, ND 58102-2416 Ph: (701) 293-4113

News Archive

Kyle Cleasby, - Medicare Student in an Organized Health Care Education/Training Program in Fargo, ND

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Researchers at Sydney's Centenary Institute fight against hepatitis infection

Prashant Mahajan awarded $5.76 million grant to study how febrile infants can avoid invasive procedures

Image of a water flea wins top prize in the 2009 Olympus BioScapes Digital Imaging Competition

Neutrons key to discovering new HIV drugs? An interview with Dr Matthew Blakeley

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Researchers at Sydney's Centenary Institute fight against hepatitis infection

Prashant Mahajan awarded $5.76 million grant to study how febrile infants can avoid invasive procedures

Image of a water flea wins top prize in the 2009 Olympus BioScapes Digital Imaging Competition

Neutrons key to discovering new HIV drugs? An interview with Dr Matthew Blakeley