Kyle Surprenant, - Medicare Physician Assistant in New Haven, CT

Kyle Surprenant, is a medicare enrolled "Physician Assistant - Medical" in New Haven, Connecticut. His current practice location is 20 York St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 688-4242.

Kyle Surprenant is licensed to practice in Connecticut (license number 23.006230) 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 1033894969.

Contact Information

Kyle Surprenant,
20 York St,
New Haven, CT 06510-3220
(203) 688-4242
Not Available



Provider's Profile

Full NameKyle Surprenant
GenderMale
SpecialityPhysician Assistant - Medical
Location20 York St, New Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033894969
  • Provider Enumeration Date: 06/19/2023
  • Last Update Date: 08/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365896727
  • Enrollment ID: I20231004000423

Medical Identifiers

Medical identifiers for Kyle Surprenant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033894969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical 23.006230 (Connecticut)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 Surprenant 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 Surprenant,
91 Elm St Apt 210a,
Manchester, CT 06040-8603

Ph: (603) 233-9767
Kyle Surprenant,
20 York St,
New Haven, CT 06510-3220

Ph: (203) 688-4242

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Physician Assistant Nurses in New Haven, CT

Dr. Jennifer Anne Freimund, M.D.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1450 Chapel St Ste 107, New Haven, CT 06511
Phone: 310-663-6162    
Sydney M Judge, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 20 York St, New Haven, CT 06510
Phone: 203-688-4242    
Mr. Ryan Christian Rogers, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 20 York St, New Haven, CT 06510
Phone: 203-785-2618    Fax: 203-737-2221
Mr. Matthew Ainey Gordon, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 20 York St, 3rd Floor West Pavilion, Cticu, New Haven, CT 06510
Phone: 203-785-2702    Fax: 203-785-3346
Andrea Ferraro,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 35 Park St Rm 209, New Haven, CT 06519
Phone: 203-284-0196    
Shelby Fundin, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 20 York St, New Haven, CT 06510
Phone: 203-688-4242    
Rebecca A Bunnell, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 374 Grand Ave, Fair Haven Community Health Center, New Haven, CT 06513
Phone: 203-777-7411    Fax: 203-777-8506

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