Kyle Stang, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Bloomington, Illinois. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice St. Joseph Medical Center and his current practice location is
2200 E Washington St, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 662-3311.
Kyle Stang is licensed to practice in Illinois (license number 036157009) 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 1750743134.
Physician's Profile
| Full Name | Kyle Stang |
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| Gender | Male |
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| Speciality | Radiation Oncology |
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| Experience | 9 Years |
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| Location | 2200 E Washington St, Bloomington, Illinois |
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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. |
Medical Education and Training:
- Kyle Stang attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2016
NPI Data:
- NPI Number: 1750743134
- Provider Enumeration Date: 03/24/2016
- Last Update Date: 01/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658643317
- Enrollment ID: I20210714001664
Medical Identifiers
Medical identifiers for Kyle Stang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750743134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0001X | Radiology - Radiation Oncology | 036157009 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St. Joseph Medical Center | 8921901620 | 2 |
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 Stang allows following entities to bill medicare on his behalf.
| Entity Name | St. Joseph Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871547414 PECOS PAC ID: 8921901620 Enrollment ID: O20040129001106 |
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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 Stang 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 Stang, MD 2200 E Washington St, Bloomington, IL 61701-4364 Ph: () - | Kyle Stang, MD 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 662-3311 |
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