Kayla Smith, is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Glendale, Wisconsin. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and her current practice location is
1700 W Bender Rd, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 351-0505.
Kayla Smith is licensed to practice in Wisconsin (license number 14817-24) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053955682.
Physician's Profile
Full Name | Kayla Smith |
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Gender | Female |
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Speciality | Physical Therapy |
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Experience | 5 Years |
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Location | 1700 W Bender Rd, Glendale, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kayla Smith graduated from medical school in 2019
NPI Data:
- NPI Number: 1053955682
- Provider Enumeration Date: 11/06/2019
- Last Update Date: 11/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 0840622387
- Enrollment ID: I20191121000914
Medical Identifiers
Medical identifiers for Kayla Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053955682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 14817-24 (Wisconsin) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
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. Kayla Smith allows following entities to bill medicare on her behalf.
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
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Entity Name | Athletic & Therapeutic Institute Of Milwaukee, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801907464 PECOS PAC ID: 2062469190 Enrollment ID: O20140616000469 |
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Entity Name | Healthpro Heritage Rehab & Fitness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245755487 PECOS PAC ID: 6507832573 Enrollment ID: O20170915001646 |
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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. Kayla 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 |
Kayla Smith, 3241 N Country Run Dr, Appleton, WI 54914-6882 Ph: () - | Kayla Smith, 1700 W Bender Rd, Glendale, WI 53209-3852 Ph: (414) 351-0505 |
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