Dr Kenneth Smith Ii, DNP in Cannon Afb, NM - Medicare Nurse Practitioner

Dr Kenneth Smith Ii, DNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Cannon Afb, New Mexico. His current practice location is 224 W D. L. Ingram Ave, Cannon Afb, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 784-1104.

Dr Kenneth Smith Ii is licensed to practice in West Virginia (license number APRN66962-NP-C) 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 1376945261.

Contact Information

	Dr Kenneth Smith Ii, DNP
	224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103
	(575) 784-1104
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kenneth Smith Ii
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	224 W D. L. Ingram Ave, Cannon Afb, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376945261
Provider Enumeration Date: 09/23/2014
Last Update Date: 12/14/2018

Medicare PECOS Information:

PECOS PAC ID: 2365789948
Enrollment ID: I20190122001376

Medical Identifiers

Medical identifiers for Dr Kenneth Smith Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376945261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	APRN66962-NP-C (West Virginia)	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. Dr Kenneth Smith Ii 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
Dr Kenneth Smith Ii, DNP 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 Ph: (575) 784-1104	Dr Kenneth Smith Ii, DNP 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 Ph: (575) 784-1104

Reviews and Comments

Nurse Practitioner Nurses in Cannon Afb, NM

Dr. Mavis Gee, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 W D.l. Ingram Ave, Cannon Afb, NM 88101 Phone: 575-784-1103
Mrs. Gretchen Evelynn Szymanski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 Phone: 575-904-4073
Dr. John Dominick Rossi, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-784-1108
Dr. Julie A Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103 Phone: 575-904-3917 Fax: 575-784-6028

Dr Kenneth Smith Ii, DNP - Medicare Nurse Practitioner in Cannon Afb, NM