Dr Kyle Sproull, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Norton Shores, Michigan. He went to Michigan State University College Of Human Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Mary Free Bed Rehabilitation Hospital and his current practice location is
6425 Harvey St, Norton Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 798-4866.
Dr Kyle Sproull is licensed to practice in Michigan (license number 4301507907) 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 1417577933.
Physician's Profile
| Full Name | Dr Kyle Sproull |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine And Rehabilitation |
|---|
| Experience | 5 Years |
|---|
| Location | 6425 Harvey St, Norton Shores, Michigan |
|---|
| 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:
- Dr Kyle Sproull attended and graduated from Michigan State University College Of Human Medicine in 2020
NPI Data:
- NPI Number: 1417577933
- Provider Enumeration Date: 04/24/2020
- Last Update Date: 02/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476977448
- Enrollment ID: I20240627002074
Medical Identifiers
Medical identifiers for Dr Kyle Sproull such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417577933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 4301507907 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mary Free Bed Rehabilitation Hospital | 4587576541 | 108 |
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 Sproull allows following entities to bill medicare on his behalf.
| Entity Name | Mary Free Bed Rehabilitation Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1730133463
PECOS PAC ID: 4587576541
Enrollment ID: O20040116000604 |
|---|
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 Sproull 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 Sproull, MD
235 Wealthy St Se,
Grand Rapids, MI 49503-5247
Ph: (616) 840-8000 | Dr Kyle Sproull, MD
6425 Harvey St,
Norton Shores, MI 49444-9739
Ph: (231) 798-4866 |
Reviews and Comments