Alec Samuel Small, DO in Kenosha, WI - Medicare Emergency Medicine

Alec Samuel Small, DO is a medicare enrolled "Emergency Medicine" physician in Kenosha, Wisconsin. His current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 948-5600.

Alec Samuel Small is licensed to practice in Wisconsin (license number 81508-21) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700464526.

Contact Information

	Alec Samuel Small, DO
	10400 75th St, Kenosha, WI 53142-7884
	(262) 948-5600
	Not Available

Map and Direction

Physician's Profile

Full Name	Alec Samuel Small
Gender	Male
Speciality	Emergency Medicine
Location	10400 75th St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700464526
Provider Enumeration Date: 04/01/2021
Last Update Date: 07/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8527460450
Enrollment ID: I20231219002849

Medical Identifiers

Medical identifiers for Alec Samuel Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700464526	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036.166609 (Illinois)	Secondary
207P00000X	Emergency Medicine	81508-21 (Wisconsin)	Primary

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. Alec Samuel Small allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Alec Samuel Small 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
Alec Samuel Small, DO 808 S Wood St Rm 469a, Chicago, IL 60612-7300 Ph: () -	Alec Samuel Small, DO 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5600

Reviews and Comments

Emergency Medicine Doctors in Kenosha, WI

David Eric Farkas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560
Ms. Kimberly Roberson, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600
Terry Zehr, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7000
Manuel A. Rivera, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
Mounica D Robinson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600
Benjamin A Feinzimer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 414-290-6720 Fax: 414-290-6755
Therese Marie Whitt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560

Alec Samuel Small, DO - Medicare Emergency Medicine in Kenosha, WI