Kyle Vawter, in Hazleton, PA - Medicare Internal Medicine

Kyle Vawter, is a medicare enrolled "Emergency Medicine" physician in Hazleton, Pennsylvania. He went to Marian University College Of Osteopathic Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Main Line Healthcare and his current practice location is 700 E Broad St, Hazleton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 501-4193.

Kyle Vawter is licensed to practice in Pennsylvania (license number OS022658) 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 1225590664.

Contact Information

	Kyle Vawter,
	700 E Broad St, Hazleton, PA 18201-6835
	(570) 501-4193
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyle Vawter
Gender	Male
Speciality	Internal Medicine
Experience	6 Years
Location	700 E Broad St, Hazleton, Pennsylvania
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 Vawter attended and graduated from Marian University College Of Osteopathic Medicine in 2019

NPI Data:

NPI Number: 1225590664
Provider Enumeration Date: 04/04/2019
Last Update Date: 10/20/2025

Medicare PECOS Information:

PECOS PAC ID: 6507212420
Enrollment ID: I20231030002140

Medical Identifiers

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

Identifier	Type	State	Issuer
1225590664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	OS022658 (Pennsylvania)	Secondary
208M00000X	Hospitalist	OS022658 (Pennsylvania)	Secondary
207P00000X	Emergency Medicine	OS022658 (Pennsylvania)	Primary
390200000X	Student In An Organized Health Care Education/training Program	OS022658 (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Riddle Memorial Hospital	Media, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main Line Healthcare	1951215201	1029

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 Vawter allows following entities to bill medicare on his behalf.

Entity Name	Main Line Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

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 Vawter 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 Vawter, 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: () -	Kyle Vawter, 700 E Broad St, Hazleton, PA 18201-6835 Ph: (570) 501-4193

Reviews and Comments

Emergency Medicine Doctors in Hazleton, PA

Christopher Hartwell, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193
Dr. Annette Marie Mann, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193 Fax: 570-501-4109
Dr. Paul J Tayoun, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 S Church St, Suite B, Hazleton, PA 18201 Phone: 570-501-1017 Fax: 570-501-2695
Andrew Koons, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193 Fax: 570-501-4109
Mr. Daniel Patrick Mchugh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193
Michael Thomas Cannizzaro, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193
Zia Rehman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193

Kyle Vawter, - Medicare Internal Medicine in Hazleton, PA