Peter Smith, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. His current practice location is
1000 Oakland Dr, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 337-4400.
Peter Smith is licensed to practice in Michigan (license number 4301046193) 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 1770531246.
Physician's Profile
Full Name | Peter Smith |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1000 Oakland Dr, Kalamazoo, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770531246
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 06/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507750858
- Enrollment ID: I20080204000557
Medical Identifiers
Medical identifiers for Peter Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770531246 | NPI | - | NPPES |
104075402 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 4301046193 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 4301046193 (Michigan) | 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. Peter Smith allows following entities to bill medicare on his behalf.
Entity Name | Anesthesia Services Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497797153 PECOS PAC ID: 4385557602 Enrollment ID: O20031111000822 |
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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. Peter 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 |
Peter Smith, MD 11215 Sandalwood Dr, Plymouth, MI 48170-3467 Ph: () - | Peter Smith, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1284 Ph: (269) 337-4400 |
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