Elton John Smith, MD - Medicare Psychiatry in Phila, PA

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Elton John Smith, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Phila, Pennsylvania. He went to Morehouse School Of Medicine and graduated in 2002 and has 24 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Good Samaritan Regional Health Center, Cgh Medical Center, Blessing Hospital, Sentara Medical Group, King County Public Hospital District No 2, Sentara Medical Group, Specialty Physicians Of Illinois Llc, Mission Health Community Multispecialty Providers Llc, Albany Medical College, University Of Maryland Community Medical Group Inc, Fornance Physician Services Inc, Mcv Associated Physicians, Bayhealth Medical Center, Inc, Center For Family Guidance Pc and his current practice location is 4641 Roosevelt Blvd, Phila, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 831-4600.

Elton John Smith is licensed to practice in Virginia (license number 0101259244) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679526784.

Contact Information

Elton John Smith, MD
4641 Roosevelt Blvd,
Phila, PA 19124-2343
(215) 831-4600
Not Available

Map and Direction




Physician's Profile

Full NameElton John Smith
GenderMale
SpecialityPsychiatry
Experience24 Years
Location4641 Roosevelt Blvd, Phila, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elton John Smith attended and graduated from Morehouse School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1679526784
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 10/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1759487614
  • Enrollment ID: I20181113001187

Medical Identifiers

Medical identifiers for Elton John Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679526784NPI-NPPES
MD425154OtherPALICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 25MA08836800 (New Jersey)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry MD425154 (Pennsylvania)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry C1-0008215 (Delaware)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 0101259244 (Virginia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 036140146 (Illinois)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 25MA08836800 (New Jersey)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 0101259244 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Regional Health Center1658272059151
Cgh Medical Center6103723267200
Blessing Hospital3072422534405
Sentara Medical Group89219039231405
King County Public Hospital District No 27618880097591
Sentara Medical Group89219039231405
Specialty Physicians Of Illinois Llc4183529456110
Mission Health Community Multispecialty Providers Llc9537468574599
Albany Medical College17592931111072
University Of Maryland Community Medical Group Inc3678472214455
Fornance Physician Services Inc8527962661108
Mcv Associated Physicians43855421171784
Bayhealth Medical Center, Inc1658364740400
Center For Family Guidance Pc2860396454165

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. Elton John Smith allows following entities to bill medicare on his behalf.
Entity NameSpecialty Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124075676
PECOS PAC ID: 4183529456
Enrollment ID: O20031201000602
Entity NameCgh Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902854623
PECOS PAC ID: 6103723267
Enrollment ID: O20031217000054
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NameBlessing Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1114471737
PECOS PAC ID: 3072422534
Enrollment ID: O20161005001836

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. Elton John 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 AddressPractice Location Address
Elton John Smith, MD
4641 E Roosevelt Blvd,
Phila, PA 19124-2343

Ph: (215) 831-4600		Elton John Smith, MD
4641 Roosevelt Blvd,
Phila, PA 19124-2343

Ph: (215) 831-4600

Reviews and Comments


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Dr. Ronald David Serota, M.D.
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Michel Bien-aime, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.