Kyle Cleasby, - Medicare Student in an Organized Health Care Education/Training Program in Fargo, ND

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Kyle Cleasby, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fargo, North Dakota. His current practice location is 1919 Elm St N, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 293-4113.

Kyle Cleasby is licensed to practice in * (Not Available) (license number ) 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 1093375370.

Contact Information

Kyle Cleasby,
1919 Elm St N,
Fargo, ND 58102-2416
(701) 293-4113
(701) 293-4109

Map and Direction




Physician's Profile

Full NameKyle Cleasby
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location1919 Elm St N, Fargo, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093375370
  • Provider Enumeration Date: 06/18/2019
  • Last Update Date: 01/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173989522
  • Enrollment ID: I20230510001235

Medical Identifiers

Medical identifiers for Kyle Cleasby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093375370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 18990 (North Dakota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Kyle Cleasby allows following entities to bill medicare on his behalf.
Entity NameBadlands Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124072525
PECOS PAC ID: 9739085499
Enrollment ID: O20031211000947
Entity NameLake Region Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669411930
PECOS PAC ID: 8426941436
Enrollment ID: O20040204000457
Entity NameWest Central Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226713
PECOS PAC ID: 6002801107
Enrollment ID: O20040419000160
Entity NameSouth Central Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225075906
PECOS PAC ID: 2365420262
Enrollment ID: O20040708000481
Entity NameNortheast Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366496341
PECOS PAC ID: 1658341441
Enrollment ID: O20040729000033
Entity NameNorthwest Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770524613
PECOS PAC ID: 4183683196
Enrollment ID: O20041006000330
Entity NameSoutheast Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932146941
PECOS PAC ID: 8527027556
Enrollment ID: O20041006000512
Entity NameNorth Central Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477592533
PECOS PAC ID: 6305885013
Enrollment ID: O20050624000207

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. Kyle Cleasby 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 AddressPractice Location Address
Kyle Cleasby,
1463 I94 Business Loop E,
Dickinson, ND 58601-6434

Ph: (701) 227-7500		Kyle Cleasby,
1919 Elm St N,
Fargo, ND 58102-2416

Ph: (701) 293-4113

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.