Dr Kevin Smith, MD is a medicare enrolled "Hospitalist" physician in Upper Marlboro, Maryland. His current practice location is
1221 Mercantile Ln, Upper Marlboro, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 618-5545.
Dr Kevin Smith is licensed to practice in Maryland (license number D0097287) 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 1114480068.
Physician's Profile
Full Name | Dr Kevin Smith |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 1221 Mercantile Ln, Upper Marlboro, Maryland |
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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: 1114480068
- Provider Enumeration Date: 04/08/2019
- Last Update Date: 04/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264763606
- Enrollment ID: I20231011000259
Medical Identifiers
Medical identifiers for Dr Kevin Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114480068 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | D0097287 (Maryland) | Secondary |
208M00000X | Hospitalist | D0097287 (Maryland) | 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 Smith allows following entities to bill medicare on his behalf.
Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
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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 Smith 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 Smith, MD 7700 Harkins Rd Apt 4068, Lanham, MD 20706-1398 Ph: (240) 604-3832 | Dr Kevin Smith, MD 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 Ph: (301) 618-5545 |
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