Dr Patrick Brent Smith, MD is a medicare enrolled "Family Medicine" physician in Boyle, Mississippi. His current practice location is
345 Laughlin Rd, Boyle, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 719-6020.
Dr Patrick Brent Smith is licensed to practice in Mississippi (license number 21265) 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 1205065810.
Physician's Profile
| Full Name | Dr Patrick Brent Smith |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 345 Laughlin Rd, Boyle, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205065810
- Provider Enumeration Date: 07/06/2009
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628248754
- Enrollment ID: I20110829000710
Medical Identifiers
Medical identifiers for Dr Patrick Brent Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205065810 | NPI | - | NPPES |
| 05402200 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 21265 (Mississippi) | 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 Patrick Brent Smith allows following entities to bill medicare on his behalf.
| Entity Name | Delta Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636 |
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| Entity Name | South Sunflower County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
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| Entity Name | North Sunflower Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318 |
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| Entity Name | Correct Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
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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 Patrick Brent 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 |
Dr Patrick Brent Smith, MD 803 1st St, Cleveland, MS 38732-2309 Ph: (662) 843-2721 | Dr Patrick Brent Smith, MD 345 Laughlin Rd, Boyle, MS 38730-8802 Ph: (662) 719-6020 |
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