Dr Kevin Matthew Smith, MD is a medicare enrolled "Pediatrics" physician in Solana Beach, California. His current practice location is
715 Camino Catalina, Solana Beach, California. You can reach out to his office (for appointments etc.) via phone at
(502) 235-6366.
Dr Kevin Matthew Smith is licensed to practice in California (license number G59269) 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 1700314952.
Physician's Profile
| Full Name | Dr Kevin Matthew Smith |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 715 Camino Catalina, Solana Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700314952
- Provider Enumeration Date: 06/01/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688915432
- Enrollment ID: I20190404002319
Medical Identifiers
Medical identifiers for Dr Kevin Matthew Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700314952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | G59269 (California) | 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. Dr Kevin Matthew Smith allows following entities to bill medicare on his behalf.
| Entity Name | Family Health Centers Of San Diego, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923 |
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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. Dr Kevin Matthew Smith 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 |
|---|
Dr Kevin Matthew Smith, MD
715 Camino Catalina,
Solana Beach, CA 92075-1631
Ph: (502) 235-6366 | Dr Kevin Matthew Smith, MD
715 Camino Catalina,
Solana Beach, CA 92075-1631
Ph: (502) 235-6366 |
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