Jennifer Michelle Waller-smith, DDS in Choctaw, MS

Jennifer Michelle Waller-smith, DDS is a medicare enrolled "Dentist" provider in Choctaw, Mississippi. Her current practice location is 210 Hospital Cir, Choctaw, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 656-2211.

Jennifer Michelle Waller-smith is licensed to practice in Missouri (license number 2010020016) 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 1720389794.

Contact Information

	Jennifer Michelle Waller-smith, DDS
	210 Hospital Cir, Choctaw, MS 39350-6781
	(601) 656-2211
	(601) 663-7721

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Michelle Waller-smith
Gender	Female
Speciality	Dentist
Location	210 Hospital Cir, Choctaw, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720389794
Provider Enumeration Date: 11/08/2010
Last Update Date: 11/08/2010

Medicare PECOS Information:

PECOS PAC ID: 5597168468
Enrollment ID: I20210729002248

Medical Identifiers

Medical identifiers for Jennifer Michelle Waller-smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720389794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2010020016 (Missouri)	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. Jennifer Michelle Waller-smith allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669493466 PECOS PAC ID: 3072422716 Enrollment ID: O20210415002293

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. Jennifer Michelle Waller-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
Jennifer Michelle Waller-smith, DDS 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211	Jennifer Michelle Waller-smith, DDS 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211

Reviews and Comments

Dentist in Choctaw, MS

Dr. Brian C Berg, DMD Dentist Medicare: Medicare Enrolled Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4033 Fax: 601-389-4031
Philip Evans, DMD Dentist Medicare: Medicare Enrolled Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211
Dr. Elijah Ransom Love, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4030 Fax: 601-389-4031
David Adams Harbarger, DMD Dentist Medicare: Medicare Enrolled Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211
Dr. Anna Clare Saxon, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4500
Lindsay Atkins, DMD Dentist Medicare: Medicare Enrolled Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211 Fax: 601-389-6391

Jennifer Michelle Waller-smith, DDS - Medicare Dentist in Choctaw, MS