Kyle Iverson, - Medicare Surgery in Apo, MS

Kyle Iverson, is a medicare enrolled "Surgery" physician in Apo, Mississippi. His current practice location is Raf Lakenheath 48mdg/sghc, Unit 5115, Apo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (864) 608-1795.

Kyle Iverson is licensed to practice in Virginia (license number 0101256367) 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 1639460397.

Contact Information

Kyle Iverson,
Raf Lakenheath 48mdg/sghc, Unit 5115,
Apo, MS 39534-2508
(864) 608-1795
Not Available



Physician's Profile

Full NameKyle Iverson
GenderMale
SpecialitySurgery
LocationRaf Lakenheath 48mdg/sghc, Apo, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639460397
  • Provider Enumeration Date: 04/28/2011
  • Last Update Date: 07/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305078114
  • Enrollment ID: I20210708001650

Medical Identifiers

Medical identifiers for Kyle Iverson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639460397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 28433 (Mississippi)Secondary
208600000XSurgery 0101256367 (Virginia)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 Iverson allows following entities to bill medicare on his behalf.
Entity NameVicksburg Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629084058
PECOS PAC ID: 4688575129
Enrollment ID: O20040213000299

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Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396

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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 Iverson 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 Iverson,
Raf Lakenheath 48mdg/sghc, Unit 5115,
Apo, MS 39534-2508

Ph: () -
Kyle Iverson,
Raf Lakenheath 48mdg/sghc, Unit 5115,
Apo, MS 39534-2508

Ph: (864) 608-1795

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Surgery Doctors in Apo, MS


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