Kevin Middleton, is a
Physician Assistant based in Penn Yan, New York. Kevin Middleton is licensed to practice in * (Not Available) (license number ) and his current practice location is
207 Lake St, Penn Yan, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 536-3362.
NPI number for Kevin Middleton is 1659181402 and his current mailing address is 46 Foxtail Ln, North Chili, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659181402.
Provider's Profile
| Full Name | Kevin Middleton |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 207 Lake St, Penn Yan, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659181402
- Provider Enumeration Date: 01/13/2025
- Last Update Date: 01/13/2025
Medical Identifiers
Medical identifiers for Kevin Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659181402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (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 Middleton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin Middleton,
46 Foxtail Ln,
North Chili, NY 14514-1409
Ph: (929) 788-0132 | Kevin Middleton,
207 Lake St,
Penn Yan, NY 14527-1802
Ph: (315) 536-3362 |
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