Kyle Thomas Deivert, is a
Student In An Organized Health Care Education/training Program physician based in Jackson, Mississippi. Kyle Thomas Deivert is licensed to practice in * (Not Available) (license number ) and his current practice location is 2500 N State St, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 984-1000.
NPI number for Kyle Thomas Deivert is 1922700301 and his current mailing address is 2500 N State St, Jackson, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922700301.
Physician's Profile
| Full Name | Kyle Thomas Deivert |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2500 N State St, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922700301
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 07/01/2024
Medical Identifiers
Medical identifiers for Kyle Thomas Deivert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922700301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | T-5207 (Mississippi) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Thomas Deivert is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kyle Thomas Deivert,
2500 N State St,
Jackson, MS 39216-4500
Ph: (601) 984-1000 | Kyle Thomas Deivert,
2500 N State St,
Jackson, MS 39216-4500
Ph: (601) 984-1000 |
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