Mr Kenneth A Smith, MD - Medicare Internal Medicine in Fort Wayne, IN

Mr Kenneth A Smith, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Fort Wayne, Indiana. His current practice location is 1234 East Dupont Road, Suite 5, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 489-1666.

Mr Kenneth A Smith is licensed to practice in Indiana (license number 01022346) 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 1003907304.

Contact Information

Mr Kenneth A Smith, MD
1234 East Dupont Road, Suite 5,
Fort Wayne, IN 46825
(260) 489-1666
(260) 489-3255

Map and Direction




Physician's Profile

Full NameMr Kenneth A Smith
GenderMale
SpecialityInternal Medicine - Rheumatology
Location1234 East Dupont Road, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003907304
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 08/03/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9032258017
  • Enrollment ID: I20160223002721

Medical Identifiers

Medical identifiers for Mr Kenneth A Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003907304NPI-NPPES
100108770AMedicaidIN
000000637485OtherINANTHEM
1866OtherPHP
000000206530OtherANTHEM
4351567OtherAETNA
000000006713OtherM PLAN
P00786840OtherINR.R. MEDICARE
200092670MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 01022346 (Indiana)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. Mr Kenneth A 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 AddressPractice Location Address
Mr Kenneth A Smith, MD
1234 East Dupont Road, Suite 1,
Fort Wayne, IN 46825

Ph: (260) 373-9728
Mr Kenneth A Smith, MD
1234 East Dupont Road, Suite 5,
Fort Wayne, IN 46825

Ph: (260) 489-1666

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.