John T Small, MD is a
Family Medicine - Addiction Medicine physician based in Haggerhill, Kentucky. John T Small is licensed to practice in Kentucky (license number 21474) and his current practice location is 3802 Ky-321, Haggerhill, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 297-1644.
NPI number for John T Small is 1619948692 and his current mailing address is Po Box 757, Campton, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619948692.
Physician's Profile
| Full Name | John T Small |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine - Addiction Medicine |
|---|
| Location | 3802 Ky-321, Haggerhill, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619948692
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for John T Small such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619948692 | NPI | - | NPPES |
| 000000377498 | Other | KY | BLUECROSS BLUESHIELD |
| 1069188 | Other | WV | BRICKSTREET |
| 2624324 | Medicaid | OH | |
| 64072978 | Medicaid | KY | |
| 3810004017 | Medicaid | WV | |
| 5490 | Other | KY | MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 21474 (Kentucky) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 21474 (Kentucky) | 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. John T Small is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
John T Small, MD Po Box 757, Campton, KY 41301-0757 Ph: (817) 797-6767 | John T Small, MD 3802 Ky-321, Haggerhill, KY 41222 Ph: (606) 297-1644 |
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