Dr Kevin N O'gorman, MD is a medicare enrolled "Internal Medicine" physician in Eden, New York. His current practice location is
8600 Depot St, Eden, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 992-4999.
Dr Kevin N O'gorman is licensed to practice in New York (license number 140567-1) 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 1083677231.
Physician's Profile
Full Name | Dr Kevin N O'gorman |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 8600 Depot St, Eden, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083677231
- Provider Enumeration Date: 04/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2264519412
- Enrollment ID: I20080411000408
Medical Identifiers
Medical identifiers for Dr Kevin N O'gorman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083677231 | NPI | - | NPPES |
00010352901 | Other | NY | UNIVERA HEALTHCARE |
00699409 | Medicaid | NY | |
0401559 | Other | NY | INDEPENDENT HEALTH |
000508426001 | Other | NY | BC/BS OF WNY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 140567-1 (New York) | 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. Dr Kevin N O'gorman 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 N O'gorman, MD 8600 Depot St, Eden, NY 14057-1343 Ph: (716) 992-4999 | Dr Kevin N O'gorman, MD 8600 Depot St, Eden, NY 14057-1343 Ph: (716) 992-4999 |
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