Kyle Fanning, MD - Medicare Family Practice in Moore, OK

Kyle Fanning, MD is a medicare enrolled "Family Medicine" physician in Moore, Oklahoma. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Integris Ambulatory Care Corporation and his current practice location is 1401 Sw 34th St Ste 200, Moore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 793-1188.

Kyle Fanning is licensed to practice in Oklahoma (license number 17631) 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 1184668998.

Contact Information

Kyle Fanning, MD
1401 Sw 34th St Ste 200,
Moore, OK 73160-3059
(405) 793-1188
(405) 793-0492



Physician's Profile

Full NameKyle Fanning
GenderMale
SpecialityFamily Practice
Experience42 Years
Location1401 Sw 34th St Ste 200, Moore, Oklahoma
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 Fanning attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1982
  NPI Data:
  • NPI Number: 1184668998
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 03/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3173580818
  • Enrollment ID: I20041215000092

Medical Identifiers

Medical identifiers for Kyle Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184668998NPI-NPPES
100197770BMedicaidOK
100197770CMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 17631 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integris Ambulatory Care Corporation2365408465382

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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 Fanning allows following entities to bill medicare on his behalf.
Entity NameIntegris Ambulatory Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354

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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 Fanning 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 Fanning, MD
5300 N Independence Ave, 280,
Oklahoma City, OK 73112-5556

Ph: (405) 793-1188
Kyle Fanning, MD
1401 Sw 34th St Ste 200,
Moore, OK 73160-3059

Ph: (405) 793-1188

News Archive

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California's position as a leader in tobacco control is under threat, according to a new report from the UC San Francisco Center for Tobacco Control Research and Education. Once a highly successful program and international model, the state's anti-tobacco efforts now appear to be waning due to the decreased spending power of the California Tobacco Control Program, a resurgence of the tobacco industry in state politics, and the emergence of new unregulated tobacco products.

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Traumatized people who take a class of common blood pressure medications tend to have less severe post-traumatic stress symptoms, researchers have found.

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› Verified 1 days ago


Family Medicine Doctors in Moore, OK

Nazanin Sara Hesami, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 320 N Service Rd, Moore, OK 73160
Phone: 405-794-4474    
Dr. Israel Becerra, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2900 S Telephone Rd Ste 250, Moore, OK 73160
Phone: 405-237-7500    
Dr. Shelly Dawn Faubion, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 Se 4th St, Moore, OK 73160
Phone: 405-794-4664    Fax: 405-794-2853
Nusrat Rumana, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2900 S Telephone Rd, Moore, OK 73160
Phone: 405-793-1188    
Dr. Sarah Elizabeth Cox, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1060 Sw 4th St, Moore, OK 73160
Phone: 405-378-5491    Fax: 405-378-5492
Chandlar Maria Vazquez, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1060 Sw 4th St, Moore, OK 73160
Phone: 405-378-5491    Fax: 405-378-5492

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