Dr Kevin Yohannan, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Middletown, New York. His current practice location is
707 E Main St, Middletown, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 333-7373.
Dr Kevin Yohannan is licensed to practice in * (Not Available) (license number ) 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 1174105738.
Physician's Profile
| Full Name | Dr Kevin Yohannan |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 707 E Main St, Middletown, 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: 1174105738
- Provider Enumeration Date: 04/23/2021
- Last Update Date: 05/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062922263
- Enrollment ID: I20250606002704
Medical Identifiers
Medical identifiers for Dr Kevin Yohannan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174105738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 329463 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Yohannan 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 Yohannan, DO
707 E Main St,
Middletown, NY 10940-2650
Ph: (845) 333-7373 | Dr Kevin Yohannan, DO
707 E Main St,
Middletown, NY 10940-2650
Ph: (845) 333-7373 |
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