Mrs Kristin Widick Smallwood, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Cocoa Beach, Florida. She went to University Of Florida College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Atlantic Dermatology Llc and 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 | Dermatology |
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| Experience | 40 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 University Of Florida College Of Medicine in 1984
NPI Data:
- NPI Number: 1346350352
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183648934
- Enrollment ID: I20060120000185
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Atlantic Dermatology Llc | 6002830858 | 2 |
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. Mrs Kristin Widick Smallwood allows following entities to bill medicare on her behalf.
| Entity Name | Atlantic Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306957378
PECOS PAC ID: 6002830858
Enrollment ID: O20060119000246 |
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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. 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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