Kevin Middleton, is a medicare enrolled "Physician Assistant" in Penn Yan, New York. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Western New York Medical Practice Pc and 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
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 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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| Experience | 2 Years |
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| Location | 207 Lake St, Penn Yan, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Middleton graduated from nursing school in 2024
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 |
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| 1659181402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 033202 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Western New York Medical Practice Pc | 3870767791 | 528 |
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 Middleton allows following entities to bill medicare on his behalf.
| Entity Name | Western New York Medical Practice PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063790608
PECOS PAC ID: 3870767791
Enrollment ID: O20111110000598 |
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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. 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 |
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Kevin Middleton,
100 Kings Hwy S,
Rochester, NY 14617-5504
Ph: Not Available | Kevin Middleton,
207 Lake St,
Penn Yan, NY 14527-1802
Ph: (315) 536-3362 |
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