Dr Kevin A O'connell, MD is a medicare enrolled "Otolaryngology - Otolaryngic Allergy" physician in Warsaw, New York. His current practice location is
400 N Main St, Warsaw, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 786-1555.
Dr Kevin A O'connell is licensed to practice in New York (license number 191328) 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 1720262686.
Physician's Profile
| Full Name | Dr Kevin A O'connell |
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| Gender | Male |
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| Speciality | Otolaryngology - Otolaryngic Allergy |
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| Location | 400 N Main St, Warsaw, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720262686
- Provider Enumeration Date: 12/27/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537245477
- Enrollment ID: I20131209000755
Medical Identifiers
Medical identifiers for Dr Kevin A O'connell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720262686 | NPI | - | NPPES |
| 191328 | Other | NY | NYS MEDICAL LICENSE |
| 000711301A | Medicaid | GA | |
| 040013774 | Other | GA | RAIL ROAD MEDICARE |
| 584912 | Other | GA | BLUE CROSS BLUE SHIELD |
| 308584 | Other | GA | WELLCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 041918 (Georgia) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 191328 (New York) | 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. Dr Kevin A O'connell allows following entities to bill medicare on his behalf.
| Entity Name | Kaleida Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639209596
PECOS PAC ID: 7810805280
Enrollment ID: O20031105000212 |
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| Entity Name | Wyoming County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407060759
PECOS PAC ID: 9335118967
Enrollment ID: O20040929001076 |
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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 Kevin A O'connell 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 |
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Dr Kevin A O'connell, MD
400 N Main St,
Warsaw, NY 14569-1025
Ph: (585) 786-1555 | Dr Kevin A O'connell, MD
400 N Main St,
Warsaw, NY 14569-1025
Ph: (585) 786-1555 |
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