Kemoy Shavar Powell, PA-C in Bridgeport, CT - Medicare Physician Assistant

Kemoy Shavar Powell, PA-C is a medicare enrolled "Physician Assistant" in Bridgeport, Connecticut. His current practice location is 1387 Norman St Apt B, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 224-0965.

Kemoy Shavar Powell is licensed to practice in Texas (license number PA16722) 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 1205542982.

Contact Information

	Kemoy Shavar Powell, PA-C
	1387 Norman St Apt B, Bridgeport, CT 06604-1821
	(203) 224-0965
	Not Available

Provider's Profile

Full Name	Kemoy Shavar Powell
Gender	Male
Speciality	Physician Assistant
Location	1387 Norman St Apt B, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205542982
Provider Enumeration Date: 01/26/2023
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5991165862
Enrollment ID: I20230724003974

Medical Identifiers

Medical identifiers for Kemoy Shavar Powell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205542982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA16722 (Texas)	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. Kemoy Shavar Powell 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
Kemoy Shavar Powell, PA-C 1387 Norman St Apt B, Bridgeport, CT 06604-1821 Ph: (203) 224-0965	Kemoy Shavar Powell, PA-C 1387 Norman St Apt B, Bridgeport, CT 06604-1821 Ph: (203) 224-0965

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Daniel Paoletti, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Ms. Katie Lynn Merithew, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3199
Alan Olson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Margaret Parisi, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Mr. Michael Asare, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Brent M Reilly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St.vincents Multispecialty Group, Bridgeport, CT 06606 Phone: 203-576-6000

Kemoy Shavar Powell, PA-C - Medicare Physician Assistant in Bridgeport, CT