Clyde D Smith, MD is a medicare enrolled "Surgery" physician in Taylor, Texas. He went to Saint Louis University School Of Medicine and graduated in 1969 and has 55 years of diverse experience with area of expertise as General Surgery. His current practice location is
305 Mallard Ln, Taylor, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 914-2628.
Clyde D Smith is licensed to practice in Texas (license number E3457) 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 1104917202.
Physician's Profile
Full Name | Clyde D Smith |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 55 Years |
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Location | 305 Mallard Ln, Taylor, Texas |
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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. |
Medical Education and Training:
- Clyde D Smith attended and graduated from Saint Louis University School Of Medicine in 1969
NPI Data:
- NPI Number: 1104917202
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 02/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 1355383167
- Enrollment ID: I20050523000571
Medical Identifiers
Medical identifiers for Clyde D Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104917202 | NPI | - | NPPES |
137633715 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | E3457 (Texas) | 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. Clyde D Smith allows following entities to bill medicare on his behalf.
Entity Name | South Austin Family Practice Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235130592 PECOS PAC ID: 3678564358 Enrollment ID: O20040520001500 |
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Entity Name | Family Health Center Of Bastrop Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417246281 PECOS PAC ID: 3173793932 Enrollment ID: O20110902000572 |
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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. Clyde D 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 |
Clyde D Smith, MD Po Box 938, Killeen, TX 76540-0938 Ph: (254) 634-6999 | Clyde D Smith, MD 305 Mallard Ln, Taylor, TX 76574-1208 Ph: (512) 914-2628 |
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