Dr Stacy C Smith, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Hereford, Arizona. She went to University Of Southern California Keck School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice Bisbee Hospital Association and her current practice location is
10524 E Highway 92, Hereford, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 366-0300.
Dr Stacy C Smith is licensed to practice in Tennessee (license number 33840) 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 1891884821.
Physician's Profile
| Full Name | Dr Stacy C Smith |
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| Gender | Female |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 35 Years |
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| Location | 10524 E Highway 92, Hereford, Arizona |
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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 Stacy C Smith attended and graduated from University Of Southern California Keck School Of Medicine in 1989
NPI Data:
- NPI Number: 1891884821
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 04/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173625506
- Enrollment ID: I20191220001684
Medical Identifiers
Medical identifiers for Dr Stacy C Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891884821 | NPI | - | NPPES |
| 4054304 | Other | TN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD0000033840 (Tennessee) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 33840 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bisbee Hospital Association | 5092626168 | 41 |
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 Stacy C Smith allows following entities to bill medicare on her behalf.
| Entity Name | Bisbee Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518968767
PECOS PAC ID: 5092626168
Enrollment ID: O20040623001007 |
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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 Stacy C 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 Stacy C Smith, MD
8060 Wolf River Blvd,
Germantown, TN 38138-1727
Ph: (901) 271-1000 | Dr Stacy C Smith, MD
10524 E Highway 92,
Hereford, AZ 85615-8371
Ph: (520) 366-0300 |
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