Mr Kevin Lee Fain, MD is a medicare enrolled "Orthopaedic Surgery" physician in Athens, Texas. His current practice location is
1123 S Palestine St, Athens, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 675-9526.
Mr Kevin Lee Fain is licensed to practice in Texas (license number H3878) 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 1174511281.
Physician's Profile
| Full Name | Mr Kevin Lee Fain |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 1123 S Palestine St, Athens, Texas |
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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: 1174511281
- Provider Enumeration Date: 10/12/2005
- Last Update Date: 01/05/2017
Medicare PECOS Information:
- PECOS PAC ID: 5395800106
- Enrollment ID: I20090211000304
Medical Identifiers
Medical identifiers for Mr Kevin Lee Fain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174511281 | NPI | - | NPPES |
| 8948K0 | Other | TX | BLUE CROSS BLUE SHIELD |
| 200039355 | Other | | RAILROAD MEDICARE |
| 131305806 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | H3878 (Texas) | Primary |
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. Mr Kevin Lee Fain allows following entities to bill medicare on his behalf.
| Entity Name | Etmc Physician Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106 |
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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. Mr Kevin Lee Fain 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 |
|---|
Mr Kevin Lee Fain, MD
1123 S Palestine St,
Athens, TX 75751-3646
Ph: (903) 675-9526 | Mr Kevin Lee Fain, MD
1123 S Palestine St,
Athens, TX 75751-3646
Ph: (903) 675-9526 |
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