Kevin M Small, MD in South Bend, IN - Medicare Diagnostic Radiology

Kevin M Small, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in South Bend, Indiana. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1993 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Inc and his current practice location is 621 Memorial Dr Ste 312, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-5200.

Kevin M Small is licensed to practice in Indiana (license number 01044597A) 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 1689669715.

Contact Information

	Kevin M Small, MD
	621 Memorial Dr Ste 312, South Bend, IN 46601-1073
	(574) 647-5200
	(574) 647-5210

Map and Direction

Physician's Profile

Full Name	Kevin M Small
Gender	Male
Speciality	Diagnostic Radiology
Experience	31 Years
Location	621 Memorial Dr Ste 312, South Bend, Indiana
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:

Kevin M Small attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1993

NPI Data:

NPI Number: 1689669715
Provider Enumeration Date: 09/14/2005
Last Update Date: 04/05/2021

Medicare PECOS Information:

PECOS PAC ID: 3072406537
Enrollment ID: I20040209000938

Medical Identifiers

Medical identifiers for Kevin M Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689669715	NPI	-	NPPES
200181930	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	01044597A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital
Elkhart General Hospital	Elkhart, IN	Hospital
La Porte Hospital	La porte, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Radiology Inc	5890695464	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. Kevin M Small allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

Entity Name	Radiology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578557815 PECOS PAC ID: 5890695464 Enrollment ID: O20040515000242

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. Kevin M Small 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
Kevin M Small, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Kevin M Small, MD 621 Memorial Dr Ste 312, South Bend, IN 46601-1073 Ph: (574) 647-5200

Reviews and Comments

Radiology Doctors in South Bend, IN

Dr. Scott H Wolf, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9203 Fax: 574-237-9311
Dr. Vu H Nguyen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125
Dr. Michael John Hall, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 5500, South Bend, IN 46601 Phone: 574-647-5200 Fax: 574-647-5210
Dr. Brett A Stephens, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125
Dr. David A Cory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125
Dr. Thomas A Bowers, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9203 Fax: 574-237-9311
Samuel Mcgrath, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 100, South Bend, IN 46601 Phone: 574-647-1100

Kevin M Small, MD - Medicare Diagnostic Radiology in South Bend, IN