Dr Shane David Smith, MD in Glen Burnie, MD

Dr Shane David Smith, MD is a medicare enrolled "Dermatology" physician in Glen Burnie, Maryland. His current practice location is 810 Landmark Dr Ste 217-219, Glen Burnie, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 351-3376.

Dr Shane David Smith is licensed to practice in Maryland (license number D0096028) 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 1124476676.

Contact Information

	Dr Shane David Smith, MD
	810 Landmark Dr Ste 217-219, Glen Burnie, MD 21061-4987
	(443) 351-3376
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shane David Smith
Gender	Male
Speciality	Dermatology
Location	810 Landmark Dr Ste 217-219, Glen Burnie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124476676
Provider Enumeration Date: 05/25/2016
Last Update Date: 04/14/2025

Medicare PECOS Information:

PECOS PAC ID: 5799079240
Enrollment ID: I20220928000552

Medical Identifiers

Medical identifiers for Dr Shane David Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124476676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	D0096028 (Maryland)	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 Shane David Smith allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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 Shane David 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 Shane David Smith, MD 1306 Concourse Dr Ste 201, Linthicum Heights, MD 21090-1033 Ph: () -	Dr Shane David Smith, MD 810 Landmark Dr Ste 217-219, Glen Burnie, MD 21061-4987 Ph: (443) 351-3376

Reviews and Comments

Dermatology Doctors in Glen Burnie, MD

Marianne E Dawn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7671 Quarterfield Road, Suite 200, Glen Burnie, MD 21061 Phone: 410-766-0111 Fax: 410-582-9155
Dr. Janet Ferber Brown, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 808 Landmark Dr, Suite 120, Glen Burnie, MD 21061 Phone: 410-768-7979 Fax: 410-768-7983
Jill Allbritton, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 810 Landmark Drive, Suite 217-219, Glen Burnie, MD 21061 Phone: 888-276-2223 Fax: 972-767-0225
Chikoti Mibenge Wheat, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7671 Quarterfield Rd Ste 200, Glen Burnie, MD 21061 Phone: 443-351-3376 Fax: 410-582-9155
Jean Margaret Moresi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 810 Landmark Drive, Suite 217-219, Glen Burnie, MD 21061 Phone: 888-276-2223 Fax: 972-767-0225

Dr Shane David Smith, MD - Medicare Dermatology in Glen Burnie, MD