Kenneth M Smith, MD is a medicare enrolled "Urology" physician in Glencoe, Minnesota. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2003 and has 22 years of diverse experience with area of expertise as Urology. He is a member of the group practice Glencoe Regional Health Services and his current practice location is
1805 Hennepin Ave N, Glencoe, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 864-3121.
Kenneth M Smith is licensed to practice in Minnesota (license number 19785) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982807350.
Physician's Profile
| Full Name | Kenneth M Smith |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 22 Years |
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| Location | 1805 Hennepin Ave N, Glencoe, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kenneth M Smith attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2003
NPI Data:
- NPI Number: 1982807350
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 02/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244425247
- Enrollment ID: I20101116001126
Medical Identifiers
Medical identifiers for Kenneth M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982807350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 19785 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Glencoe Regional Health Services | 1759292980 | 34 |
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. Kenneth M Smith allows following entities to bill medicare on his behalf.
| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
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| Entity Name | Glencoe Regional Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20031119000252 |
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| Entity Name | Glencoe Regional Health Services |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20060504000699 |
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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. Kenneth M 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 |
Kenneth M Smith, MD 1805 Hennepin Ave N, Glencoe, MN 55336-1416 Ph: (320) 864-3121 | Kenneth M Smith, MD 1805 Hennepin Ave N, Glencoe, MN 55336-1416 Ph: (320) 864-3121 |
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