Kelvin Dewayne Roden-smith, NP in Wyandotte, MI

Kelvin Dewayne Roden-smith, NP is a medicare enrolled "Nurse Practitioner" in Wyandotte, Michigan. He graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Henry Ford Medical Group, Henry Ford Wyandotte Hospital and his current practice location is 2333 Biddle Ave, Wyandotte, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 246-6000.

Kelvin Dewayne Roden-smith is licensed to practice in Michigan (license number 4704226230) 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 1669613220.

Contact Information

	Kelvin Dewayne Roden-smith, NP
	2333 Biddle Ave, Wyandotte, MI 48192-4668
	(734) 246-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelvin Dewayne Roden-smith
Gender	Male
Speciality	Nurse Practitioner
Experience	17 Years
Location	2333 Biddle Ave, Wyandotte, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelvin Dewayne Roden-smith graduated from nursing school in 2008

NPI Data:

NPI Number: 1669613220
Provider Enumeration Date: 03/11/2009
Last Update Date: 02/22/2017

Medicare PECOS Information:

PECOS PAC ID: 2163572140
Enrollment ID: I20090612000379

Medical Identifiers

Medical identifiers for Kelvin Dewayne Roden-smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669613220	NPI	-	NPPES
PENDING	Other		BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704226230 (Michigan)	Primary
363LA2100X	Nurse Practitioner - Acute Care	4704226230 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Wyandotte Hospital	Wyandotte, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124
Henry Ford Wyandotte Hospital	2264334499	151

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. Kelvin Dewayne Roden-smith allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	Henry Ford Wyandotte Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457586646 PECOS PAC ID: 2264334499 Enrollment ID: O20040227000431

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. Kelvin Dewayne Roden-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
Kelvin Dewayne Roden-smith, NP 1640 Fort St, Suite D Attn Denise, Trenton, MI 48183-2040 Ph: (734) 391-3057	Kelvin Dewayne Roden-smith, NP 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (734) 246-6000

Reviews and Comments

Nurse Practitioner Nurses in Wyandotte, MI

Jessica Lynn Davis, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Ford Ave, Wyandotte, MI 48192 Phone: 734-281-3080 Fax: 734-281-8815
Erin Marie Jakovac, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2124 Davis St, Wyandotte, MI 48192 Phone: 734-308-3814
Jamie S Howard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000
Mrs. Jennifer Marie Rizk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Eureka Rd Ste B, Wyandotte, MI 48192 Phone: 734-600-7873
Ms. Layla A Brown, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Fort St, Wyandotte, MI 48192 Phone: 866-389-2727
Mr. Thomas Mcconnell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Ford Ave Ste 100, Wyandotte, MI 48192 Phone: 734-281-3080
Jodee M. Thornley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3463 Fax: 734-246-7266

Kelvin Dewayne Roden-smith, NP - Medicare Nurse Practitioner in Wyandotte, MI