Dr Kyle Joseph Shiffler, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" physician in Phoenix, Arizona. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Banner - University Physician Specialists Llc and his current practice location is
1441 N 12th St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 521-5150.
Dr Kyle Joseph Shiffler is licensed to practice in Arizona (license number 76277) 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 1306200985.
Physician's Profile
| Full Name | Dr Kyle Joseph Shiffler |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 7 Years |
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| Location | 1441 N 12th St, Phoenix, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kyle Joseph Shiffler graduated from medical school in 2019
NPI Data:
- NPI Number: 1306200985
- Provider Enumeration Date: 04/08/2016
- Last Update Date: 08/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 4082081286
- Enrollment ID: I20250411001079
Medical Identifiers
Medical identifiers for Dr Kyle Joseph Shiffler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306200985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 204E00000X | Oral & Maxillofacial Surgery | 76277 (Arizona) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D012387 (Arizona) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Banner - University Physician Specialists Llc | 5991008054 | 343 |
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 Joseph Shiffler allows following entities to bill medicare on his behalf.
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 Joseph Shiffler 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 |
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Dr Kyle Joseph Shiffler, DDS, MD
1441 N 12th St,
Phoenix, AZ 85006-2837
Ph: (602) 521-5150 | Dr Kyle Joseph Shiffler, DDS, MD
1441 N 12th St,
Phoenix, AZ 85006-2837
Ph: (602) 521-5150 |
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