Kenneth Stewart, MD is a medicare enrolled "Clinic/center - Infusion Therapy" physician in Santa Fe, New Mexico. His current practice location is
1640 Old Pecos Trl Ste E, Santa Fe, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 670-9778.
Kenneth Stewart is licensed to practice in New Mexico (license number 91-318) 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 1811958150.
Physician's Profile
| Full Name | Kenneth Stewart |
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| Gender | Male |
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| Speciality | Clinic/center - Infusion Therapy |
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| Location | 1640 Old Pecos Trl Ste E, Santa Fe, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811958150
- Provider Enumeration Date: 03/28/2006
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911022025
- Enrollment ID: I20120921000558
Medical Identifiers
Medical identifiers for Kenneth Stewart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811958150 | NPI | - | NPPES |
| 416182 | Medicaid | AZ | |
| 000R7779 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 91-318 (New Mexico) | Secondary |
| 207Q00000X | Family Medicine | 91-318 (New Mexico) | Secondary |
| 261QI0500X | Clinic/center - Infusion Therapy | 91-318 (New Mexico) | 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. Kenneth Stewart allows following entities to bill medicare on his behalf.
| Entity Name | Los Alamos Emergency Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679965883
PECOS PAC ID: 1557680105
Enrollment ID: O20150501001381 |
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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. Kenneth Stewart 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 |
|---|
Kenneth Stewart, MD
1640 Old Pecos Trl Ste E,
Santa Fe, NM 87505-4777
Ph: (505) 670-9778 | Kenneth Stewart, MD
1640 Old Pecos Trl Ste E,
Santa Fe, NM 87505-4777
Ph: (505) 670-9778 |
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