Kyle Kreulen, in Benton, AR - Medicare Physician Assistant

Kyle Kreulen, is a medicare enrolled "Physician Assistant" physician in Benton, Arkansas. His current practice location is 3714 Grand Oaks Dr, Benton, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 517-7004.

Kyle Kreulen is licensed to practice in Arkansas (license number PA-907) 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 1912463902.

Contact Information

	Kyle Kreulen,
	3714 Grand Oaks Dr, Benton, AR 72019-2045
	(501) 517-7004
	Not Available

Physician's Profile

Full Name	Kyle Kreulen
Gender	Male
Speciality	Physician Assistant
Location	3714 Grand Oaks Dr, Benton, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912463902
Provider Enumeration Date: 02/14/2019
Last Update Date: 09/10/2021

Medicare PECOS Information:

PECOS PAC ID: 8921405275
Enrollment ID: I20210929000903

Medical Identifiers

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

Identifier	Type	State	Issuer
1912463902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	PA-907 (Arkansas)	Secondary
363A00000X	Physician Assistant	PA-907 (Arkansas)	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 Kreulen 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 Kreulen, 3714 Grand Oaks Dr, Benton, AR 72019-2045 Ph: (501) 517-7004	Kyle Kreulen, 3714 Grand Oaks Dr, Benton, AR 72019-2045 Ph: (501) 517-7004

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Kyle Kreulen, - Medicare Physician Assistant in Benton, AR