Dr Marissa M Smith, MD - Medicare Pediatrics in Syracuse, NY

Dr Marissa M Smith, MD is a medicare enrolled "Pediatrics" physician in Syracuse, New York. Her current practice location is 4900 Broad Road, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 492-5437.

Dr Marissa M Smith is licensed to practice in Connecticut (license number 050185) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427218833.

Contact Information

Dr Marissa M Smith, MD
4900 Broad Road,
Syracuse, NY 13215
(315) 492-5437
(315) 492-5502

Map and Direction




Physician's Profile

Full NameDr Marissa M Smith
GenderFemale
SpecialityPediatrics
Location4900 Broad Road, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427218833
  • Provider Enumeration Date: 06/10/2008
  • Last Update Date: 11/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3173796257
  • Enrollment ID: I20181211002015

Medical Identifiers

Medical identifiers for Dr Marissa M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427218833NPI-NPPES
03378998MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 050185 (Connecticut)Secondary
2080S0010XPediatrics - Sports Medicine 050185 (Connecticut)Secondary
208000000XPediatrics 275336 (New York)Secondary

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. Dr Marissa M Smith allows following entities to bill medicare on her behalf.
Entity NamePhysical Medicine & Rehab Medical Service Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336189919
PECOS PAC ID: 8123911500
Enrollment ID: O20040209000134
Entity NameUpstate Emergency Medicine, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275589582
PECOS PAC ID: 2466443494
Enrollment ID: O20040519001106

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. Dr Marissa M 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 AddressPractice Location Address
Dr Marissa M Smith, MD
251 Salina Meadows Pkwy Ste 100,
Syracuse, NY 13212-4516

Ph: (315) 464-2000
Dr Marissa M Smith, MD
4900 Broad Road,
Syracuse, NY 13215

Ph: (315) 492-5437

Reviews and Comments


Pediatrics Doctors in Syracuse, NY

Ms. Bonnie Lee Marr I, MD
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Dr. David William Hansen, MD
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Dr. Audrey Victoria Vandewall, DO
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Phone: 315-464-5831    Fax: 315-464-2030
Dr. Aisha Sultana Baig, MD
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Phone: 315-464-6323    Fax: 315-464-6322
Megan A Pinnamaneni, MD
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Practice Location: 750 E Adams St, Syracuse, NY 13210
Phone: 315-464-5420    
Steven David Blatt, MD
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Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210
Phone: 315-464-5831    Fax: 315-464-2030

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.