Dr Michelle Deann Smith, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Hopkinsville, Kentucky. She went to East Tennessee State University Quillen College Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Jennie Stuart Medical Center Inc and her current practice location is
227 Burley Ave, Hopkinsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 887-5640.
Dr Michelle Deann Smith is licensed to practice in Kentucky (license number 54389) 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 1871567578.
Physician's Profile
| Full Name | Dr Michelle Deann Smith |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 28 Years |
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| Location | 227 Burley Ave, Hopkinsville, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michelle Deann Smith attended and graduated from East Tennessee State University Quillen College Of Medicine in 1996
NPI Data:
- NPI Number: 1871567578
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 09/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779511480
- Enrollment ID: I20200923000995
Medical Identifiers
Medical identifiers for Dr Michelle Deann Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871567578 | NPI | - | NPPES |
| 265938 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NS0135X | Dermatology - Procedural Dermatology | 26593 (South Carolina) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 54389 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jennie Stuart Medical Center Inc | 4183607252 | 99 |
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 Michelle Deann Smith allows following entities to bill medicare on her behalf.
| Entity Name | Jennie Stuart Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235139312
PECOS PAC ID: 4183607252
Enrollment ID: O20040609001506 |
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| Entity Name | Fairview Physicians Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821385329
PECOS PAC ID: 7012187925
Enrollment ID: O20110901000656 |
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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. Dr Michelle Deann 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 |
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Dr Michelle Deann Smith, MD
102 W 18th St,
Hopkinsville, KY 42240-1961
Ph: (270) 707-2100 | Dr Michelle Deann Smith, MD
227 Burley Ave,
Hopkinsville, KY 42240-8725
Ph: (270) 887-5640 |
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