Dr Kyle Deerwester, MD in Brockton, MA

Dr Kyle Deerwester, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Brockton, Massachusetts. His current practice location is 680 Centre St, Brockton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 941-7580.

Dr Kyle Deerwester is licensed to practice in Massachusetts (license number 1019638) 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 1134624018.

Contact Information

	Dr Kyle Deerwester, MD
	680 Centre St, Brockton, MA 02302-3308
	(508) 941-7580
	(508) 941-6268

Map and Direction

Physician's Profile

Full Name	Dr Kyle Deerwester
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	680 Centre St, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134624018
Provider Enumeration Date: 03/24/2018
Last Update Date: 03/21/2025

Medicare PECOS Information:

PECOS PAC ID: 0143765073
Enrollment ID: I20240715003617

Medical Identifiers

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

Identifier	Type	State	Issuer
1134624018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	036.159618 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	1019638 (Massachusetts)	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. Dr Kyle Deerwester allows following entities to bill medicare on his behalf.

Entity Name	Signature Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372

Entity Name	Pratt Pediatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127

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. Dr Kyle Deerwester 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
Dr Kyle Deerwester, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7580	Dr Kyle Deerwester, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7580

Reviews and Comments

Pediatrics Doctors in Brockton, MA

Dr. Crystal L Rainville, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: One Pearl Street, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578
Madeleine Mbuyamba, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649
Emily Slosberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 158 Pleasant Street, Brockton, MA 02301 Phone: 508-894-3363 Fax: 508-893-4649
Alan B Bulotsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Quincy St, Brockton, MA 02302 Phone: 508-584-1890 Fax: 508-580-3332
Freya S Emspak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0618
Dr. Venkata S H Kalyan Sridhara, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699

Dr Kyle Deerwester, MD - Medicare Pediatrics in Brockton, MA