Mr Edwin Dewees Kyle Iii, PAC - Medicare Physician Assistant in Skokie, IL

Mr Edwin Dewees Kyle Iii, PAC is a medicare enrolled "Physician Assistant - Surgical" in Skokie, Illinois. His current practice location is 9600 Gross Point Road, Rush North Shore Medical Center Dept Of Surgery, Skokie, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 933-6020.

Mr Edwin Dewees Kyle Iii is licensed to practice in Illinois (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 1043430812.

Contact Information

Mr Edwin Dewees Kyle Iii, PAC
9600 Gross Point Road, Rush North Shore Medical Center Dept Of Surgery,
Skokie, IL 60076
(847) 933-6020
Not Available



Provider's Profile

Full NameMr Edwin Dewees Kyle Iii
GenderMale
SpecialityPhysician Assistant - Surgical
Location9600 Gross Point Road, Skokie, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043430812
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1153464003
  • Enrollment ID: I20100201000748

Medical Identifiers

Medical identifiers for Mr Edwin Dewees Kyle Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043430812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (Illinois)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. Mr Edwin Dewees Kyle Iii 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
Mr Edwin Dewees Kyle Iii, PAC
3032 Park Place,
Evanston, IL 60201

Ph: (224) 619-2189
Mr Edwin Dewees Kyle Iii, PAC
9600 Gross Point Road, Rush North Shore Medical Center Dept Of Surgery,
Skokie, IL 60076

Ph: (847) 933-6020

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