Dr Kevin M Kitagawa, MD is a medicare enrolled "Specialist" physician in Bangor, Maine. His current practice location is
417 State St, Suite 439, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 941-8200.
Dr Kevin M Kitagawa is licensed to practice in Maine (license number MD19249) 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 1538363171.
Physician's Profile
| Full Name | Dr Kevin M Kitagawa |
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| Gender | Male |
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| Speciality | Specialist |
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| Location | 417 State St, Bangor, Maine |
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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: 1538363171
- Provider Enumeration Date: 06/14/2007
- Last Update Date: 08/02/2012
Medicare PECOS Information:
- PECOS PAC ID: 7012031941
- Enrollment ID: I20120914000429
Medical Identifiers
Medical identifiers for Dr Kevin M Kitagawa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538363171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4754 (Hawaii) | Secondary |
| 174400000X | Specialist | MD19249 (Maine) | 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 M Kitagawa allows following entities to bill medicare on his behalf.
| Entity Name | Dahl Chase Pathology Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992726913
PECOS PAC ID: 8820995947
Enrollment ID: O20031217000381 |
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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 M Kitagawa 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 M Kitagawa, MD
417 State St, Suite 439,
Bangor, ME 04401-6635
Ph: (207) 941-8200 | Dr Kevin M Kitagawa, MD
417 State St, Suite 439,
Bangor, ME 04401-6635
Ph: (207) 941-8200 |
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