Kevin James Smith, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Syracuse, New York. His current practice location is
750 E Adams St, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 464-5240.
Kevin James Smith is licensed to practice in * (Not Available) (license number ) 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 1265869648.
Provider's Profile
| Full Name | Kevin James Smith |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 750 E Adams St, Syracuse, New York |
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| Accepts Medicare Assignments | Yes. He 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:
- Kevin James Smith attended and graduated from in
NPI Data:
- NPI Number: 1265869648
- Provider Enumeration Date: 10/01/2013
- Last Update Date: 04/17/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kevin James Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265869648 | NPI | - | NPPES |
| 03739291 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 017009 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kevin James 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 |
|---|
Kevin James Smith,
750 E Adams St,
Syracuse, NY 13210-1834
Ph: () - | Kevin James Smith,
750 E Adams St,
Syracuse, NY 13210-1834
Ph: (315) 464-5240 |
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