Collin-jamal Smith, in Chapel Hill, NC

Collin-jamal Smith, is a medicare enrolled "Dermatology" physician in Chapel Hill, North Carolina. His current practice location is 102 Mason Farm Rd, Chapel Hill, North Carolina. You can reach out to his office (for appointments etc.) via phone at (984) 974-4462.

Collin-jamal Smith is licensed to practice in North Carolina (license number 2023-03374) 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 1093335820.

Contact Information

	Collin-jamal Smith,
	102 Mason Farm Rd, Chapel Hill, NC 27514-4617
	(984) 974-4462
	(919) 843-9355

Map and Direction

Physician's Profile

Full Name	Collin-jamal Smith
Gender	Male
Speciality	Dermatology
Location	102 Mason Farm Rd, Chapel Hill, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093335820
Provider Enumeration Date: 04/22/2020
Last Update Date: 06/04/2024

Medicare PECOS Information:

PECOS PAC ID: 7012348360
Enrollment ID: I20240614000008

Medical Identifiers

Medical identifiers for Collin-jamal Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093335820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	2023-03374 (North Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	261580 (North Carolina)	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. Collin-jamal Smith allows following entities to bill medicare on his behalf.

Entity Name	Moses Cone Physician Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202

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. Collin-jamal 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
Collin-jamal Smith, 102 Mason Farm Rd, Chapel Hill, NC 27514-4617 Ph: (984) 974-4462	Collin-jamal Smith, 102 Mason Farm Rd, Chapel Hill, NC 27514-4617 Ph: (984) 974-4462

Reviews and Comments

Dermatology Doctors in Chapel Hill, NC

Dr. Caroline Lillian Rao, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2238 Nelson Hwy, Ste 100, Chapel Hill, NC 27517 Phone: 919-401-1994 Fax: 919-401-1924
Dr. Aida M Lugo-somolinos, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3100 Thurston-bowles, Unc Cb#7287, Chapel Hill, NC 27599 Phone: 919-843-9447
Dr. Beth Goodrich Goldstein, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2238 Nelson Hwy, Ste 100, Chapel Hill, NC 27517 Phone: 919-407-1994 Fax: 919-401-1924
Daren Joshua Simkin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 77 Vilcom Center Dr Ste 210, Chapel Hill, NC 27514 Phone: 919-684-3432
Jayson R Miedema, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 410 Market St Ste 400, Department Of Dermatology, Chapel Hill, NC 27516 Phone: 919-966-2485 Fax: 919-966-6460
Shweta Shukla, MD Dermatology Medicare: Medicare Enrolled Practice Location: 410 Market St Ste 400, Chapel Hill, NC 27516 Phone: 984-974-3900

Collin-jamal Smith, - Medicare Dermatology in Chapel Hill, NC