Dr Timothy Smith, DC is a medicare enrolled "Chiropractor" provider in Derby, New York. He went to New York Chiropractic College and graduated in 2002 and has 24 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Seneca Nation Of Indians, Lakeshore Chiropractic Wellness Pllc and his current practice location is
6778 Erie Rd, Derby, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 947-5106.
Dr Timothy Smith is licensed to practice in New York (license number X010563-1) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598743163.
Healthcare Provider's Profile
| Full Name | Dr Timothy Smith |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 24 Years |
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| Location | 6778 Erie Rd, Derby, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Timothy Smith attended and graduated from New York Chiropractic College in 2002
NPI Data:
- NPI Number: 1598743163
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 07/22/2026
Medicare PECOS Information:
- PECOS PAC ID: 3678641768
- Enrollment ID: I20081002000186
Medical Identifiers
Medical identifiers for Dr Timothy Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598743163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | X010563-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Seneca Nation Of Indians | 8123920592 | 29 |
| Lakeshore Chiropractic Wellness Pllc | 3173969789 | 2 |
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 Timothy Smith allows following entities to bill medicare on his behalf.
| Provider Name | Lakeshore Chiropractic Wellness PLLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396525002
PECOS PAC ID: 3173969789
Enrollment ID: O20240306000258 |
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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 Timothy 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 |
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Dr Timothy Smith, DC
6778 Erie Rd,
Derby, NY 14047-9672
Ph: (716) 947-5106 | Dr Timothy Smith, DC
6778 Erie Rd,
Derby, NY 14047-9672
Ph: (716) 947-5106 |
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