Dr Carl Edwin Smith Jr, MD - Medicare Pediatric Medicine in Harlan, KY

Dr Carl Edwin Smith Jr, MD is a medicare enrolled "Pediatrics" physician in Harlan, Kentucky. He went to University Of Kentucky College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Pediatric Medicine. His current practice location is 120 Professional Lane, Ste 201, Harlan, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 573-1004.

Dr Carl Edwin Smith Jr is licensed to practice in Kentucky (license number 24028) 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 1972583607.

Contact Information

Dr Carl Edwin Smith Jr, MD
120 Professional Lane, Ste 201,
Harlan, KY 40831-2603
(606) 573-1004
(606) 573-0059

Map and Direction




Physician's Profile

Full NameDr Carl Edwin Smith Jr
GenderMale
SpecialityPediatric Medicine
Experience40 Years
Location120 Professional Lane, Harlan, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carl Edwin Smith Jr attended and graduated from University Of Kentucky College Of Medicine in 1984
  NPI Data:
  • NPI Number: 1972583607
  • Provider Enumeration Date: 01/19/2006
  • Last Update Date: 11/30/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3375531551
  • Enrollment ID: I20050727001118

Medical Identifiers

Medical identifiers for Dr Carl Edwin Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972583607NPI-NPPES
31000953MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 24028 (Kentucky)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. Dr Carl Edwin Smith Jr allows following entities to bill medicare on his behalf.
Entity NameCarl E Smith Md Faap Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053427286
PECOS PAC ID: 1658308176
Enrollment ID: O20050726000731

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. Dr Carl Edwin Smith Jr 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 AddressPractice Location Address
Dr Carl Edwin Smith Jr, MD
120 Professional Lane, Ste 201,
Harlan, KY 40831-2603

Ph: (606) 573-1004
Dr Carl Edwin Smith Jr, MD
120 Professional Lane, Ste 201,
Harlan, KY 40831-2603

Ph: (606) 573-1004

Reviews and Comments


Pediatrics Doctors in Harlan, KY

Abiodun Enitan Akisanya, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 37 Ball Park Rd, Harlan, KY 40831
Phone: 606-573-8420    
Francisco F. Corp, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 132 Village Center Rd, Harlan, KY 40831
Phone: 606-573-7771    
Gursharan Kaur Sidhu, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 29 Eula Gray St, Gursharan Kaur Sidhu Md, Harlan, KY 40831
Phone: 606-573-9690    Fax: 606-573-9692
Amber L Allen, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 132 Village Center Rd, Harlan, KY 40831
Phone: 606-573-7771    Fax: 606-573-2809

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.