Philip Smith, RD is a medicare enrolled "Dietitian, Registered" provider in Oswego, New York. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. He is a member of the group practice Oswego Hospital and his current practice location is
110 W 6th St, Oswego, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 349-5511.
Philip Smith is licensed to practice in New York (license number 012347) 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 1033936505.
Healthcare Provider's Profile
| Full Name | Philip Smith |
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| Gender | Male |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 3 Years |
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| Location | 110 W 6th St, Oswego, 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:
- Philip Smith graduated from medical school in 2023
NPI Data:
- NPI Number: 1033936505
- Provider Enumeration Date: 09/25/2024
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113447400
- Enrollment ID: I20250217002050
Medical Identifiers
Medical identifiers for Philip Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033936505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 012347 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oswego Hospital | 4981686045 | 59 |
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. Philip Smith allows following entities to bill medicare on his behalf.
| Provider Name | Oswego Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1871678458
PECOS PAC ID: 4981686045
Enrollment ID: O20040602001275 |
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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. Philip 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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Philip Smith, RD
8513 Bayridge Rd,
Cicero, NY 13039-9234
Ph: Not Available | Philip Smith, RD
110 W 6th St,
Oswego, NY 13126-2507
Ph: (315) 349-5511 |
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