Mrs Kristin Widick Smallwood, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Cocoa Beach, Florida. Her current practice location is
1980 N Atlantic Ave, Suite 722, Cocoa Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 784-8811.
Mrs Kristin Widick Smallwood is licensed to practice in Florida (license number 0056367) 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 1346350352.
Physician's Profile
| Full Name | Mrs Kristin Widick Smallwood |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1980 N Atlantic Ave, Cocoa Beach, Florida |
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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:
- Mrs Kristin Widick Smallwood attended and graduated from in
NPI Data:
- NPI Number: 1346350352
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Kristin Widick Smallwood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346350352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 0056367 (Florida) | Primary |
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 0056367 (Florida) | Primary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 0056367 (Florida) | Primary |
| 207NS0135X | Dermatology - Procedural Dermatology | 0056367 (Florida) | 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. Mrs Kristin Widick Smallwood 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 |
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Mrs Kristin Widick Smallwood, MD
1980 N Atlantic Ave, Suite 722,
Cocoa Beach, FL 32931-5213
Ph: (321) 784-8811 | Mrs Kristin Widick Smallwood, MD
1980 N Atlantic Ave, Suite 722,
Cocoa Beach, FL 32931-5213
Ph: (321) 784-8811 |
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