Keith Andrew Stevener, DDS in Fayetteville, NY

Keith Andrew Stevener, DDS is a medicare enrolled "Dentist" provider in Fayetteville, New York. His current practice location is 527 E Genesee St, Fayetteville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 637-8213.

Keith Andrew Stevener is licensed to practice in New York (license number 50054495) 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 1396976981.

Contact Information

	Keith Andrew Stevener, DDS
	527 E Genesee St, Fayetteville, NY 13066-1536
	(315) 637-8213
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Andrew Stevener
Gender	Male
Speciality	Dentist
Location	527 E Genesee St, Fayetteville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396976981
Provider Enumeration Date: 07/31/2009
Last Update Date: 10/19/2011

Medicare PECOS Information:

PECOS PAC ID: 7214274679
Enrollment ID: I20190123004308

Medical Identifiers

Medical identifiers for Keith Andrew Stevener such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396976981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	50054495 (New York)	Primary
122300000X	Dentist	TD-00-21 (New Mexico)	Secondary

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. Keith Andrew Stevener 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
Keith Andrew Stevener, DDS 527 E Genesee St, Fayetteville, NY 13066-1536 Ph: () -	Keith Andrew Stevener, DDS 527 E Genesee St, Fayetteville, NY 13066-1536 Ph: (315) 637-8213

Reviews and Comments

Dentist in Fayetteville, NY

Dr. Scott Dillingham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8016 E Genesee St, Fayetteville, NY 13066 Phone: 315-637-6961 Fax: 315-637-0169
John D. Callahan Jr., D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 S Manlius St, Fayetteville, NY 13066 Phone: 315-663-0295
Dr. Mark A Oberferst, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7085 E Genesee St, Fayetteville, NY 13066 Phone: 315-632-4600 Fax: 315-492-6051
Dr. Cosmina Olariu Nolan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8016 E Genesee St, Fayetteville, NY 13066 Phone: 315-637-6961
Dr. Keith Alan Alexander, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 Lyndon Rd, Fayetteville, NY 13066 Phone: 315-460-0110
Simone Reid, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6844 E Genesee St, Fayetteville, NY 13066 Phone: 315-449-0711 Fax: 315-446-8394
Derek P Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8016 E Genesee St, Fayetteville, NY 13066 Phone: 315-637-6961 Fax: 315-637-0169

Keith Andrew Stevener, DDS - Medicare Dentist in Fayetteville, NY