Dr Kyle Fistner, DO is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Hardwick, New Jersey. His current practice location is
61 Ward Rd, Hardwick, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(908) 362-6114.
Dr Kyle Fistner is licensed to practice in New Jersey (license number 25MB12608300) 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 1407377013.
Physician's Profile
| Full Name | Dr Kyle Fistner |
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| Gender | Male |
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| Speciality | Internal Medicine - Addiction Medicine |
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| Location | 61 Ward Rd, Hardwick, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407377013
- Provider Enumeration Date: 07/05/2017
- Last Update Date: 02/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 1355875659
- Enrollment ID: I20241108002480
Medical Identifiers
Medical identifiers for Dr Kyle Fistner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407377013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RA0401X | Internal Medicine - Addiction Medicine | 25MB12608300 (New Jersey) | 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. Dr Kyle Fistner 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 Fistner, DO 61 Ward Rd, Hardwick, NJ 07825-9636 Ph: (908) 362-6114 | Dr Kyle Fistner, DO 61 Ward Rd, Hardwick, NJ 07825-9636 Ph: (908) 362-6114 |
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