Mr Kevin Smith, CRNA in San Leandro, CA - Medicare Nurse Anesthetist, Certified Registered

Mr Kevin Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Leandro, California. His current practice location is 2500 Merced St, Kaiser Medical Center, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 454-2069.

Mr Kevin Smith is licensed to practice in California (license number 2182) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770532277.

Contact Information

	Mr Kevin Smith, CRNA
	2500 Merced St, Kaiser Medical Center, San Leandro, CA 94577-4201
	(510) 454-2069
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kevin Smith
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2500 Merced St, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770532277
Provider Enumeration Date: 05/10/2006
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7416930102
Enrollment ID: I20040611001516

Medical Identifiers

Medical identifiers for Mr Kevin Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770532277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2182 (California)	Primary

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. Mr Kevin Smith allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mr Kevin 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
Mr Kevin Smith, CRNA 2500 Merced St, Kaiser Medical Center, San Leandro, CA 94577-4201 Ph: (510) 454-2069	Mr Kevin Smith, CRNA 2500 Merced St, Kaiser Medical Center, San Leandro, CA 94577-4201 Ph: (510) 454-2069

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Leandro, CA

Jennifer Lim, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Joseph J Janakes, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 Merced St, Department Of Anesthesia, San Leandro, CA 94577 Phone: 510-454-2070
Steven Bazan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070
Franchesca Maria Cascone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070
Belinda Will, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070
Mrs. Jaclyn G Cho, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Mrs. Katherine T La, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070

Mr Kevin Smith, CRNA - Medicare Nurse Anesthetist, Certified Registered in San Leandro, CA