Mark Alan Smith, MD is a medicare enrolled "Internal Medicine" physician in Sherwood, Arkansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Primary Care 360 and his current practice location is
100 Shadow Oaks Dr, Sherwood, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 393-5050.
Mark Alan Smith is licensed to practice in Arkansas (license number E4293) 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 1174529887.
Physician's Profile
| Full Name | Mark Alan Smith |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 40 Years |
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| Location | 100 Shadow Oaks Dr, Sherwood, Arkansas |
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| Accepts Medicare Assignments | Yes. He 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:
- Mark Alan Smith attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1984
NPI Data:
- NPI Number: 1174529887
- Provider Enumeration Date: 06/27/2005
- Last Update Date: 05/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305897141
- Enrollment ID: I20050209000284
Medical Identifiers
Medical identifiers for Mark Alan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174529887 | NPI | - | NPPES |
| 155886001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | E4293 (Arkansas) | Primary |
Medical Facilities Affiliation
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. Mark Alan Smith allows following entities to bill medicare on his behalf.
| Entity Name | St Vincent Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134176480
PECOS PAC ID: 5698758803
Enrollment ID: O20040622000224 |
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| Entity Name | Primary Care 360 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124678586
PECOS PAC ID: 4183050842
Enrollment ID: O20200129001002 |
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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. Mark Alan 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 |
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Mark Alan Smith, MD
100 Shadow Oaks Dr,
Sherwood, AR 72120-6046
Ph: (870) 393-5050 | Mark Alan Smith, MD
100 Shadow Oaks Dr,
Sherwood, AR 72120-6046
Ph: (870) 393-5050 |
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