Alexis Deana Smith, MD in Gainesville, GA

Alexis Deana Smith, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Gainesville, Georgia. Her current practice location is 1439 Jesse Jewell Pkwy Ne Ste 301, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 219-9234.

Alexis Deana Smith is licensed to practice in Georgia (license number 79022) 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 1093974974.

Contact Information

	Alexis Deana Smith, MD
	1439 Jesse Jewell Pkwy Ne Ste 301, Gainesville, GA 30501-3806
	(770) 219-9234
	Not Available

Map and Direction

Physician's Profile

Full Name	Alexis Deana Smith
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	1439 Jesse Jewell Pkwy Ne Ste 301, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093974974
Provider Enumeration Date: 06/05/2008
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 3375818099
Enrollment ID: I20240104004856

Medical Identifiers

Medical identifiers for Alexis Deana Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093974974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	79022 (Georgia)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2086S0120X	Surgery - Pediatric Surgery	MD15118 (Rhode Island)	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. Alexis Deana Smith allows following entities to bill medicare on her behalf.

Entity Name	Banner Physician Super Specialists Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353

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. Alexis Deana 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
Alexis Deana Smith, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420	Alexis Deana Smith, MD 1439 Jesse Jewell Pkwy Ne Ste 301, Gainesville, GA 30501-3806 Ph: (770) 219-9234

Reviews and Comments

Surgery Doctors in Gainesville, GA

Dr. Thomas Gregory Delong, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1387 Springdale Rd, Gainesville, GA 30501 Phone: 770-534-0984
Courtney L Grant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435
Phillip Patrick Rideout, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000
Derek Paul Pendarvis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947
Julius Timothy Fulenwider, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 Jesse Jewell Pkwy Ne, Ste B, Gainesville, GA 30501 Phone: 770-536-5733 Fax: 770-534-2114
James A. Butts Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947

Alexis Deana Smith, MD - Medicare Surgery in Gainesville, GA