WALTER BRIGHAM KLYCE III MD
NPI 1114584919
Student in an Organized Health Care Education/Training Program in Cleveland, OH
About Walter Brigham Klyce Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALTER BRIGHAM KLYCE III MD (NPI 1114584919) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Walter Brigham Klyce Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Walter Klyce reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Walter Klyce's NPI number?
The NPI number for Walter Klyce is 1114584919. It was assigned to this individual provider in the NPPES registry on May 28, 2019.
Where is Walter Klyce located?
Walter Klyce practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-3233.
What is Walter Klyce's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Walter Klyce enrolled in Medicare?
Yes. Walter Klyce is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Walter Klyce's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Walter Klyce reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Walter Klyce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Walter Klyce was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Walter Brigham Klyce III, MD · NPI 1114584919
Student in an Organized Health Care Education/Training Program provider in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since May 28, 2019.
## Identity
- **NPI:** 1114584919 (Entity type: Individual)
- **Enumerated:** May 28, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 11100 EUCLID AVE, Cleveland, OH 44106-1716
- **Phone:** (216) 844-3233
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Warren Alpert Medical School Of Brown University, class of 2019
## Record status
- **NPPES last updated:** May 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114584919) · Data from the CMS NPPES public registry.