Kevin Middleton, is a medicare enrolled "Physician Assistant" in Penn Yan, New York. His current practice location is
207 Lake St, Penn Yan, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 536-3362.
Kevin Middleton is licensed to practice in New York (license number 033202) 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 1659181402.
Provider's Profile
Full Name | Kevin Middleton |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 207 Lake St, Penn Yan, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659181402
- Provider Enumeration Date: 01/13/2025
- Last Update Date: 02/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779006549
- Enrollment ID: I20250402001599
Medical Identifiers
Medical identifiers for Kevin Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659181402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 033202 (New York) | 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 Middleton 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 Middleton, 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: () - | Kevin Middleton, 207 Lake St, Penn Yan, NY 14527-1802 Ph: (315) 536-3362 |
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