Dr Brian Roy Smith, DDS in Shreveport, LA - Medicare Dentist Provider

Dr Brian Roy Smith, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Shreveport, Louisiana. His current practice location is 2125 E Bert Kouns Industrial Loop, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 797-5812.

Dr Brian Roy Smith is licensed to practice in Louisiana (license number 4752) 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 1639191182.

Contact Information

	Dr Brian Roy Smith, DDS
	2125 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5314
	(318) 797-5812
	(318) 797-0390

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brian Roy Smith
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	2125 E Bert Kouns Industrial Loop, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639191182
Provider Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6305733817
Enrollment ID: I20040413000823

Medical Identifiers

Medical identifiers for Dr Brian Roy Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639191182	NPI	-	NPPES
C9163	Other	LA	BLUE CROSS/BLUE SHIELD
1847526	Medicaid	LA
T8B090451	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	4752 (Louisiana)	Primary

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 Brian Roy Smith allows following entities to bill medicare on his behalf.

Entity Name	Arklatex Oral & Maxillofacial Surgery A Partnership Of Professional De
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003092545 PECOS PAC ID: 9739376864 Enrollment ID: O20101215000126

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 Brian Roy 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
Dr Brian Roy Smith, DDS 2125 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5314 Ph: (318) 797-5812	Dr Brian Roy Smith, DDS 2125 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5314 Ph: (318) 797-5812

Reviews and Comments

Dentist in Shreveport, LA

Dr. Jared Michael Boyd, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2042 Line Ave, Shreveport, LA 71104 Phone: 318-425-5356 Fax: 318-674-2898
Nadia Mohammadi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7251 Youree Dr, Shreveport, LA 71105 Phone: 318-239-1638
Dr. Rufus Vardis Loud, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2701 Frederick St, Shreveport, LA 71109 Phone: 318-631-3464 Fax: 318-631-3464
Dr. John Eric Monsour, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 275 Kayla St, Suite 200, Shreveport, LA 71105 Phone: 318-865-4382 Fax: 318-865-4386
Dr. Gregory Neil Bane, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave Bldg 57, Shreveport, LA 71101 Phone: 318-221-8411
Dr. James Richard Brown Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 North Market Street, Shreveport, LA 71107 Phone: 318-424-6405 Fax: 318-424-1599
Dr. Sharon Denise Sims, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3546 Greenwood Rd, Shreveport, LA 71109 Phone: 318-631-1100 Fax: 318-631-1127

Dr Brian Roy Smith, DDS - Medicare Dentist in Shreveport, LA