Charlie D Smith Iii, MD in Lake City, SC - Medicare Thoracic Surgery

Charlie D Smith Iii, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Lake City, South Carolina. He went to University Of South Carolina School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Monument Health Rapid City Hospital, Inc., Hays Medical Center Inc and his current practice location is 2322 Burnt Branch Rd, Lake City, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 687-0153.

Charlie D Smith Iii is licensed to practice in South Carolina (license number 13042) 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 1003874892.

Contact Information

	Charlie D Smith Iii, MD
	2322 Burnt Branch Rd, Lake City, SC 29560-7910
	(843) 687-0153
	(843) 673-9457

Map and Direction

Physician's Profile

Full Name	Charlie D Smith Iii
Gender	Male
Speciality	Thoracic Surgery
Experience	39 Years
Location	2322 Burnt Branch Rd, Lake City, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlie D Smith Iii attended and graduated from University Of South Carolina School Of Medicine in 1985

NPI Data:

NPI Number: 1003874892
Provider Enumeration Date: 05/02/2006
Last Update Date: 10/23/2020

Medicare PECOS Information:

PECOS PAC ID: 5395648117
Enrollment ID: I20120815000318

Medical Identifiers

Medical identifiers for Charlie D Smith Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003874892	NPI	-	NPPES
1679530968	Other	SC	GROUP NPI
130423	Medicaid	SC
7937	Other	SC	MEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	13042 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Monument Health Rapid City Hospital	Rapid city, SD	Hospital
Hays Medical Center	Hays, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Monument Health Rapid City Hospital, Inc.	6002729506	424
Hays Medical Center Inc	1557279676	158

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. Charlie D Smith Iii allows following entities to bill medicare on his behalf.

Entity Name	Monument Health Rapid City Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144

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. Charlie D Smith Iii 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
Charlie D Smith Iii, MD Po Box 266, Olanta, SC 29114-0266 Ph: (843) 687-0153	Charlie D Smith Iii, MD 2322 Burnt Branch Rd, Lake City, SC 29560-7910 Ph: (843) 687-0153

Charlie D Smith Iii, MD - Medicare Thoracic Surgery in Lake City, SC