Kenneth Wilson Smead Iii, MD - Medicare Preventive Medicine in New London, CT

Kenneth Wilson Smead Iii, MD is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in New London, Connecticut. His current practice location is 4 Shaws Cv Ste 101, John J. Mcguirk Va Outpatient Clinic, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 437-3611.

Kenneth Wilson Smead Iii is licensed to practice in Connecticut (license number 040856) 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 1316032931.

Contact Information

Kenneth Wilson Smead Iii, MD
4 Shaws Cv Ste 101, John J. Mcguirk Va Outpatient Clinic,
New London, CT 06320-4956
(860) 437-3611
Not Available



Physician's Profile

Full NameKenneth Wilson Smead Iii
GenderMale
SpecialityPreventive Medicine - Aerospace Medicine
Location4 Shaws Cv Ste 101, New London, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316032931
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 02/07/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9133314289
  • Enrollment ID: I20160512001611

Medical Identifiers

Medical identifiers for Kenneth Wilson Smead Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316032931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0100XPreventive Medicine - Aerospace Medicine 040856 (Connecticut)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. Kenneth Wilson Smead Iii 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
Kenneth Wilson Smead Iii, MD
4 Shaws Cv Ste 101, John J. Mcguirk Va Outpatient Clinic,
New London, CT 06320-4956

Ph: (860) 437-3611
Kenneth Wilson Smead Iii, MD
4 Shaws Cv Ste 101, John J. Mcguirk Va Outpatient Clinic,
New London, CT 06320-4956

Ph: (860) 437-3611

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Preventive Medicine Doctors in New London, CT

Geraldine S Ruffa, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-446-8265    Fax: 860-448-6961
Cullen Michael Taplin,
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    

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