Kenneth Sanders Smith Jr, MD - Medicare Orthopedic Surgery in Saint Louis, MO

Kenneth Sanders Smith Jr, MD is a medicare enrolled "Orthopaedic Surgery" physician in Saint Louis, Missouri. He went to University Of Alabama School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Signature Medical Group Inc, Arnold Physical Therapy And Sports Medicine Llc and his current practice location is 12639 Old Tesson Rd Ste 115, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 849-0311.

Kenneth Sanders Smith Jr is licensed to practice in Missouri (license number 2019013302) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952746521.

Contact Information

Kenneth Sanders Smith Jr, MD
12639 Old Tesson Rd Ste 115,
Saint Louis, MO 63128-2786
(314) 849-0311
Not Available

Map and Direction




Physician's Profile

Full NameKenneth Sanders Smith Jr
GenderMale
SpecialityOrthopedic Surgery
Experience11 Years
Location12639 Old Tesson Rd Ste 115, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Sanders Smith Jr attended and graduated from University Of Alabama School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1952746521
  • Provider Enumeration Date: 05/08/2013
  • Last Update Date: 08/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8224278791
  • Enrollment ID: I20190724003446

Medical Identifiers

Medical identifiers for Kenneth Sanders Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952746521NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery DR.0060799 (Colorado)Secondary
207X00000XOrthopaedic Surgery 2019013302 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Home HealthSaint louis, MOHome health agency
Mercy Hospital SouthSaint louis, MOHospital
St Lukes HospitalChesterfield, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Signature Medical Group Inc488059829135
Arnold Physical Therapy And Sports Medicine Llc569880327826

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. Kenneth Sanders Smith Jr allows following entities to bill medicare on his behalf.
Entity NameSignature Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871542761
PECOS PAC ID: 4880598291
Enrollment ID: O20031204000173

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. Kenneth Sanders Smith Jr 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 AddressPractice Location Address
Kenneth Sanders Smith Jr, MD
12639 Old Tesson Rd Ste 115,
Saint Louis, MO 63128-2786

Ph: (314) 849-0311
Kenneth Sanders Smith Jr, MD
12639 Old Tesson Rd Ste 115,
Saint Louis, MO 63128-2786

Ph: (314) 849-0311

Reviews and Comments


Orthopaedic Surgery Doctors in Saint Louis, MO

Nathan M Fisher, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128
Phone: 314-849-0311    Fax: 314-849-4423
Dr. Wassim Mourad, MD, MHCM
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1008 S Spring Ave Rm 1114, Saint Louis, MO 63110
Phone: 314-977-4102    
Dr. David William Barton, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110
Phone: 314-747-2551    Fax: 314-747-2598
Dr. Moneer Moustafa Abouljoud, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110
Phone: 314-747-2835    
Dr. Brian Adams Kelly, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110
Phone: 314-747-2551    Fax: 314-747-2598
Thomas John Revak, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110
Phone: 314-977-5350    
Dr. Nicholas Andrew Pallotta, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110
Phone: 314-747-2551    Fax: 314-747-2598

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.