Ethel L Smith, MD in Conyers, GA - Medicare Family Medicine

Ethel L Smith, MD is a medicare enrolled "Family Medicine" physician in Conyers, Georgia. Her current practice location is 2020 Honey Creek Pkwy Se, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 919-0813.

Ethel L Smith is licensed to practice in Georgia (license number 31510) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104817014.

Contact Information

	Ethel L Smith, MD
	2020 Honey Creek Pkwy Se, Conyers, GA 30013
	(770) 919-0813
	(770) 929-3868

Map and Direction

Physician's Profile

Full Name	Ethel L Smith
Gender	Female
Speciality	Family Medicine
Location	2020 Honey Creek Pkwy Se, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104817014
Provider Enumeration Date: 10/31/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4587640594
Enrollment ID: I20040629000476

Medical Identifiers

Medical identifiers for Ethel L Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104817014	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	31510 (Georgia)	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. Ethel L Smith allows following entities to bill medicare on her behalf.

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20230105001168

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. Ethel L 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
Ethel L Smith, MD 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Ph: (770) 919-0813	Ethel L Smith, MD 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Ph: (770) 919-0813

Reviews and Comments

Family Medicine Doctors in Conyers, GA

Mrs. Virginia Birnbach Hyland, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2800 Highway 138 Sw Ste A, Conyers, GA 30094 Phone: 770-602-2970 Fax: 404-367-6982
Alvin V Griffin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1039 E Freeway Dr Se, Conyers, GA 30094 Phone: 770-922-0076 Fax: 770-922-0734
Indira R Asser, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-929-0813 Fax: 770-922-8653
Yerie Yang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1301 Sigman Rd Ne Ste 230, Conyers, GA 30012 Phone: 678-609-4912
Mallikarjun Samala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-8079
Nayeem Akmal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-929-0813 Fax: 770-929-3868

Ethel L Smith, MD - Medicare Family Medicine in Conyers, GA