Dr Kyle Matthew Waisanen, MD in Fort Myers, FL

Dr Kyle Matthew Waisanen, MD is a medicare enrolled "Urology" physician in Fort Myers, Florida. His current practice location is 12651 Whitehall Dr, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 424-2030.

Dr Kyle Matthew Waisanen is licensed to practice in Florida (license number ME162353) 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 1033616909.

Contact Information

	Dr Kyle Matthew Waisanen, MD
	12651 Whitehall Dr, Fort Myers, FL 33907-3626
	(239) 424-2030
	(239) 343-4117

Map and Direction

Physician's Profile

Full Name	Dr Kyle Matthew Waisanen
Gender	Male
Speciality	Urology
Location	12651 Whitehall Dr, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033616909
Provider Enumeration Date: 04/09/2018
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 8820335888
Enrollment ID: I20230712002562

Medical Identifiers

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

Identifier	Type	State	Issuer
1033616909	NPI	-	NPPES
118384100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	ME162353 (Florida)	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 Matthew Waisanen allows following entities to bill medicare on his behalf.

Entity Name	Lee Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604

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 Matthew Waisanen 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 Matthew Waisanen, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 424-2030	Dr Kyle Matthew Waisanen, MD 12651 Whitehall Dr, Fort Myers, FL 33907-3626 Ph: (239) 424-2030

Reviews and Comments

Urology Doctors in Fort Myers, FL

Barry F Blitz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 7451 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-689-8800 Fax: 239-939-7774
Dr. Joseph Clair Klink, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr Ste 401, Fort Myers, FL 33905 Phone: 239-396-8930 Fax: 239-396-8932
Scott Raymond Caesar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905 Phone: 239-458-1196 Fax: 239-458-1345
Brett Michael Giblin, Urology Medicare: Medicare Enrolled Practice Location: 12651 Whitehall Dr, Fort Myers, FL 33907 Phone: 239-424-2030 Fax: 239-343-4117
Dr. David S Harris, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6811 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-533-5177 Fax: 239-322-5610
Bert F Van Beever, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 7451 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-689-8800 Fax: 239-939-7774

Dr Kyle Matthew Waisanen, MD - Medicare Urology in Fort Myers, FL