Keeanna Smith, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dayton, Ohio. Her current practice location is
128 E Apple St, 2nd Floor, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 208-2004.
Keeanna Smith is licensed to practice in * (Not Available) (license number ) 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 1710410204.
Physician's Profile
| Full Name | Keeanna Smith |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 128 E Apple St, Dayton, Ohio |
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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. |
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Medical Education and Training:
- Keeanna Smith attended and graduated from in
NPI Data:
- NPI Number: 1710410204
- Provider Enumeration Date: 04/11/2017
- Last Update Date: 08/12/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Keeanna Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710410204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 35.140694 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Keeanna 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 |
|---|
Keeanna Smith,
128 E Apple St, 2nd Floor,
Dayton, OH 45409-2902
Ph: () - | Keeanna Smith,
128 E Apple St, 2nd Floor,
Dayton, OH 45409-2902
Ph: (937) 208-2004 |
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