Kyle Fanning, MD in Moore, OK - Medicare Family Practice

Kyle Fanning, MD is a medicare enrolled "Family Medicine" physician in Moore, Oklahoma. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Integris Ambulatory Care Corporation and his current practice location is 1401 Sw 34th St Ste 200, Moore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 793-1188.

Kyle Fanning is licensed to practice in Oklahoma (license number 17631) 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 1184668998.

Contact Information

	Kyle Fanning, MD
	1401 Sw 34th St Ste 200, Moore, OK 73160-3059
	(405) 793-1188
	(405) 793-0492

Map and Direction

Physician's Profile

Full Name	Kyle Fanning
Gender	Male
Speciality	Family Practice
Experience	42 Years
Location	1401 Sw 34th St Ste 200, Moore, Oklahoma
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:

Kyle Fanning attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1982

NPI Data:

NPI Number: 1184668998
Provider Enumeration Date: 06/15/2006
Last Update Date: 03/19/2019

Medicare PECOS Information:

PECOS PAC ID: 3173580818
Enrollment ID: I20041215000092

Medical Identifiers

Medical identifiers for Kyle Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184668998	NPI	-	NPPES
100197770B	Medicaid	OK
100197770C	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	17631 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integris Ambulatory Care Corporation	2365408465	382

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 Fanning allows following entities to bill medicare on his behalf.

Entity Name	Integris Ambulatory Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354

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 Fanning 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
Kyle Fanning, MD 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (405) 793-1188	Kyle Fanning, MD 1401 Sw 34th St Ste 200, Moore, OK 73160-3059 Ph: (405) 793-1188

Reviews and Comments

Family Medicine Doctors in Moore, OK

Nazanin Sara Hesami, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 320 N Service Rd, Moore, OK 73160 Phone: 405-794-4474
Dr. Israel Becerra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Telephone Rd Ste 250, Moore, OK 73160 Phone: 405-237-7500
Dr. Shelly Dawn Faubion, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Se 4th St, Moore, OK 73160 Phone: 405-794-4664 Fax: 405-794-2853
Nusrat Rumana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Telephone Rd, Moore, OK 73160 Phone: 405-793-1188
Dr. Sarah Elizabeth Cox, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 Sw 4th St, Moore, OK 73160 Phone: 405-378-5491 Fax: 405-378-5492
Chandlar Maria Vazquez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1060 Sw 4th St, Moore, OK 73160 Phone: 405-378-5491 Fax: 405-378-5492

Kyle Fanning, MD - Medicare Family Practice in Moore, OK