Bobby Smith Ii, MD is a medicare enrolled "Internal Medicine" physician in Philadelphia, Mississippi. His current practice location is
921 West Beacon Street, Philadelphia, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 656-6116.
Bobby Smith Ii is licensed to practice in Mississippi (license number 16026) 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 1619933744.
Physician's Profile
| Full Name | Bobby Smith Ii |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 921 West Beacon Street, Philadelphia, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619933744
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 01/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 9537138060
- Enrollment ID: I20040930000574
Medical Identifiers
Medical identifiers for Bobby Smith Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619933744 | NPI | - | NPPES |
| 00119762 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 16026 (Mississippi) | 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. Bobby Smith Ii allows following entities to bill medicare on his behalf.
| Entity Name | Neshoba Physician Billing Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841404985 PECOS PAC ID: 4183518335 Enrollment ID: O20040210000454 |
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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. Bobby Smith Ii 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 |
Bobby Smith Ii, MD 921 West Beacon Street, Philadelphia, MS 39350 Ph: (601) 656-6116 | Bobby Smith Ii, MD 921 West Beacon Street, Philadelphia, MS 39350 Ph: (601) 656-6116 |
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