John T Small, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Haggerhill, Kentucky. His current practice location is
3802 Ky-321, Haggerhill, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 297-1644.
John T Small is licensed to practice in Kentucky (license number 21474) 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 1619948692.
Physician's Profile
Full Name | John T Small |
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Gender | Male |
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Speciality | Family Medicine - Addiction Medicine |
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Location | 3802 Ky-321, Haggerhill, Kentucky |
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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: 1619948692
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355237397
- Enrollment ID: I20040225001086
Medical Identifiers
Medical identifiers for John T Small such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619948692 | NPI | - | NPPES |
000000377498 | Other | KY | BLUECROSS BLUESHIELD |
1069188 | Other | WV | BRICKSTREET |
2624324 | Medicaid | OH | |
64072978 | Medicaid | KY | |
3810004017 | Medicaid | WV | |
5490 | Other | KY | MEDICARE GROUP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 21474 (Kentucky) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | 21474 (Kentucky) | 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. John T Small allows following entities to bill medicare on his behalf.
Entity Name | Baptist Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
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Entity Name | The Recovery Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316332067 PECOS PAC ID: 7012285497 Enrollment ID: O20170608001733 |
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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. John T 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 |
John T Small, MD Po Box 757, Campton, KY 41301-0757 Ph: (817) 797-6767 | John T Small, MD 3802 Ky-321, Haggerhill, KY 41222 Ph: (606) 297-1644 |
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