Kevin James Smith, is a
Student In An Organized Health Care Education/training Program based in Syracuse, New York. Kevin James Smith is licensed to practice in * (Not Available) (license number ) and his current practice location is
750 E Adams St, Syracuse, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 464-5240.
NPI number for Kevin James Smith is 1265869648 and his current mailing address is 750 E Adams St, Syracuse, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265869648.
Provider's Profile
| Full Name | Kevin James Smith |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 750 E Adams St, Syracuse, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265869648
- Provider Enumeration Date: 10/01/2013
- Last Update Date: 04/17/2023
Medical Identifiers
Medical identifiers for Kevin James Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265869648 | NPI | - | NPPES |
| 03739291 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 017009 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kevin James Smith 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 |
|---|
Kevin James Smith,
750 E Adams St,
Syracuse, NY 13210-1834
Ph: () - | Kevin James Smith,
750 E Adams St,
Syracuse, NY 13210-1834
Ph: (315) 464-5240 |
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