Dr Kevin J Sprague, MD is a medicare enrolled "Orthopaedic Surgery" physician in Trenton, Michigan. His current practice location is
5452 Fort St Ste 200, Trenton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 642-2727.
Dr Kevin J Sprague is licensed to practice in Michigan (license number KS043956) 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 1447221411.
Physician's Profile
| Full Name | Dr Kevin J Sprague |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 5452 Fort St Ste 200, Trenton, Michigan |
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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: 1447221411
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 09/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002904554
- Enrollment ID: I20071116000051
Medical Identifiers
Medical identifiers for Dr Kevin J Sprague such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447221411 | NPI | - | NPPES |
| 2591389 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | KS043956 (Michigan) | 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 J Sprague allows following entities to bill medicare on his behalf.
| Entity Name | Beaumont Medical Group- Specialty Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
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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 J Sprague 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 Kevin J Sprague, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Dr Kevin J Sprague, MD 5452 Fort St Ste 200, Trenton, MI 48183-4638 Ph: (734) 642-2727 |
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