Kenneth Michael Lavin, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Mansfield, Massachusetts. His current practice location is
272 Chauncy Street Suite 4, Mansfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 339-3338.
Kenneth Michael Lavin is licensed to practice in Massachusetts (license number MA1918) 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 1770647943.
Healthcare Provider's Profile
Full Name | Kenneth Michael Lavin |
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Gender | Male |
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Speciality | Podiatrist - Primary Podiatric Medicine |
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Location | 272 Chauncy Street Suite 4, Mansfield, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770647943
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3476561333
- Enrollment ID: I20060404000279
Medical Identifiers
Medical identifiers for Kenneth Michael Lavin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770647943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213EP1101X | Podiatrist - Primary Podiatric Medicine | MA1918 (Massachusetts) | 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. Kenneth Michael Lavin 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 |
Kenneth Michael Lavin, DPM 272 Chauncy Street, Mansfield, MA 02048 Ph: (508) 339-3338 | Kenneth Michael Lavin, DPM 272 Chauncy Street Suite 4, Mansfield, MA 02048 Ph: (508) 339-3338 |
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