Dr Kevin Seo, MD is a medicare enrolled "General Practice" physician in Berrien Springs, Michigan. His current practice location is
9124 George Ave Apt 24, Berrien Springs, Michigan. You can reach out to his office (for appointments etc.) via phone at
(219) 588-5409.
Dr Kevin Seo is licensed to practice in Puerto Rico (license number 020995) 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 1336340975.
Physician's Profile
Full Name | Dr Kevin Seo |
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Gender | Male |
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Speciality | General Practice |
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Location | 9124 George Ave Apt 24, Berrien Springs, Michigan |
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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: 1336340975
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 08/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 1658591458
- Enrollment ID: I20140929002570
Medical Identifiers
Medical identifiers for Dr Kevin Seo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336340975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 020995 (Puerto Rico) | 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 Seo 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 Seo, MD 9124 George Ave Apt 24, Berrien Springs, MI 49103-1659 Ph: (219) 588-5409 | Dr Kevin Seo, MD 9124 George Ave Apt 24, Berrien Springs, MI 49103-1659 Ph: (219) 588-5409 |
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