Mr Kenneth A Smith, MD in Fort Wayne, IN - Medicare Internal Medicine

Mr Kenneth A Smith, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Fort Wayne, Indiana. His current practice location is 1234 East Dupont Road, Suite 5, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 489-1666.

Mr Kenneth A Smith is licensed to practice in Indiana (license number 01022346) 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 1003907304.

Contact Information

	Mr Kenneth A Smith, MD
	1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825
	(260) 489-1666
	(260) 489-3255

Physician's Profile

Full Name	Mr Kenneth A Smith
Gender	Male
Speciality	Internal Medicine - Rheumatology
Location	1234 East Dupont Road, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003907304
Provider Enumeration Date: 09/28/2006
Last Update Date: 08/03/2012

Medicare PECOS Information:

PECOS PAC ID: 9032258017
Enrollment ID: I20160223002721

Medical Identifiers

Medical identifiers for Mr Kenneth A Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003907304	NPI	-	NPPES
100108770A	Medicaid	IN
000000637485	Other	IN	ANTHEM
1866	Other		PHP
000000206530	Other		ANTHEM
4351567	Other		AETNA
000000006713	Other		M PLAN
P00786840	Other	IN	R.R. MEDICARE
200092670	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	01022346 (Indiana)	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. Mr Kenneth A Smith 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 Kenneth A Smith, MD 1234 East Dupont Road, Suite 1, Fort Wayne, IN 46825 Ph: (260) 373-9728	Mr Kenneth A Smith, MD 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Ph: (260) 489-1666

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Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910
Ahmad Alhariri, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020
Dr. Anuradha G Bommakanti, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Eileen Jill Ramos Muzzillo, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605
John T Ducker, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188
Dr. Carl Marc Williams, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740

Mr Kenneth A Smith, MD - Medicare Internal Medicine in Fort Wayne, IN