Dr Michael Clark Smith, MD - Medicare General Practice in Keller, TX

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Dr Michael Clark Smith, MD is a medicare enrolled "General Practice" physician in Keller, Texas. His current practice location is 601 S Main St Ste 110, Keller, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 857-6693.

Dr Michael Clark Smith is licensed to practice in Texas (license number K7900) 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 1689664567.

Contact Information

Dr Michael Clark Smith, MD
601 S Main St Ste 110,
Keller, TX 76248-7027
(817) 857-6693
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Clark Smith
GenderMale
SpecialityGeneral Practice
Location601 S Main St Ste 110, Keller, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689664567
  • Provider Enumeration Date: 10/24/2005
  • Last Update Date: 11/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2860463015
  • Enrollment ID: I20040803000337

Medical Identifiers

Medical identifiers for Dr Michael Clark Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689664567NPI-NPPES
047503001MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice K7900 (Texas)Primary
207P00000XEmergency Medicine K7900 (Texas)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 Michael Clark Smith allows following entities to bill medicare on his behalf.
Entity NameImed Physician Network, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063809465
PECOS PAC ID: 6608103155
Enrollment ID: O20190807001189

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 Michael Clark 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 Michael Clark Smith, MD
391 Las Colinas Blvd E, Ste 130 #550,
Irving, TX 75039-6225

Ph: (469) 281-9115		Dr Michael Clark Smith, MD
601 S Main St Ste 110,
Keller, TX 76248-7027

Ph: (817) 857-6693

Reviews and Comments


General Practice Doctors in Keller, TX


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.