Dr Kimberly Mccullough Smash, MD in Jackson, MS

Dr Kimberly Mccullough Smash, MD is a medicare enrolled "Family Medicine" physician in Jackson, Mississippi. She went to Wayne State University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Prolific Health And Wellness Pa and her current practice location is 2675 River Ridge Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 718-0308.

Dr Kimberly Mccullough Smash is licensed to practice in Mississippi (license number 21233) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881892552.

Contact Information

	Dr Kimberly Mccullough Smash, MD
	2675 River Ridge Dr, Jackson, MS 39216
	(601) 718-0308
	(855) 838-7032

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Mccullough Smash
Gender	Female
Speciality	Family Practice
Experience	17 Years
Location	2675 River Ridge Dr, Jackson, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kimberly Mccullough Smash attended and graduated from Wayne State University School Of Medicine in 2007

NPI Data:

NPI Number: 1881892552
Provider Enumeration Date: 07/04/2007
Last Update Date: 06/22/2018

Medicare PECOS Information:

PECOS PAC ID: 6406036813
Enrollment ID: I20110202000094

Medical Identifiers

Medical identifiers for Dr Kimberly Mccullough Smash such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881892552	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301090322 (Michigan)	Secondary
207Q00000X	Family Medicine	21233 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mississippi Baptist Medical Center	Jackson, MS	Hospital
St Dominic-jackson Memorial Hospital	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prolific Health And Wellness Pa	3971862160	2

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 Kimberly Mccullough Smash allows following entities to bill medicare on her behalf.

Entity Name	Prolific Health & Wellness Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962913541 PECOS PAC ID: 3971862160 Enrollment ID: O20180116001079

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 Kimberly Mccullough Smash 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
Dr Kimberly Mccullough Smash, MD Po Box 1020, Jackson, MS 39215-1020 Ph: (601) 718-0308	Dr Kimberly Mccullough Smash, MD 2675 River Ridge Dr, Jackson, MS 39216 Ph: (601) 718-0308

Reviews and Comments

Family Medicine Doctors in Jackson, MS

Dr. Tesia Shani Hall-hill, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5429 Robinson Road Ext, Jackson, MS 39204 Phone: 601-914-0163 Fax: 601-914-0170
Mrs. Christian Fortenberry, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560
Dr. Marcia L Howard, Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Dept Of Family Medicine, Jackson, MS 39216 Phone: 601-984-5426 Fax: 601-984-6889
Stephen Paul Epperson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-988-5281 Fax: 601-974-5241
Deborah O'bryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-4778 Fax: 601-984-5420
Dr. Cassandra Faye Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 514c E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-981-7198 Fax: 601-981-6616
Mrs. Sydney Mccary Ponder, Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488

Dr Kimberly Mccullough Smash, MD - Medicare Family Practice in Jackson, MS