Kyle S Ettinger, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Rochester, Minnesota. He went to Mayo Medical School and graduated in 2014 and has 10 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Mayo Clinic and his current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 284-2511.
Kyle S Ettinger is licensed to practice in Minnesota (license number 59378) 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 1881989234.
Healthcare Provider's Profile
Full Name | Kyle S Ettinger |
---|
Gender | Male |
---|
Speciality | Maxillofacial Surgery |
---|
Experience | 10 Years |
---|
Location | 200 1st St Sw, Rochester, Minnesota |
---|
Accepts Medicare Assignments | Yes. 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 S Ettinger attended and graduated from Mayo Medical School in 2014
NPI Data:
- NPI Number: 1881989234
- Provider Enumeration Date: 06/14/2011
- Last Update Date: 08/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 5698941243
- Enrollment ID: I20120103000103
Medical Identifiers
Medical identifiers for Kyle S Ettinger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881989234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D13023 (Minnesota) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | D13023 (Minnesota) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 59378 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mayo Clinic | 6507778255 | 4232 |
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 S Ettinger allows following entities to bill medicare on his behalf.
Entity Name | Mayo Clinic |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
---|
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 S Ettinger 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 S Ettinger, DDS 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Kyle S Ettinger, DDS 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Reviews and Comments