| Richard C Smith, MD | |
|
2729 S Highway 65 82, Lake Village, AR 71653-6136 | |
| (870) 632-9091 | |
| (662) 537-4888 |
| Full Name | Richard C Smith |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 2729 S Highway 65 82, Lake Village, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831206515 | NPI | - | NPPES |
| P00316066 | Other | RR MEDICARE | |
| 1538043 | Medicaid | LA | |
| 140263001 | Medicaid | AR | |
| 00334503 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 15057 (Mississippi) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | E-6378 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Putnam Community Medical Center | Palatka, FL | Hospital |
| Brandon Regional Hospital | Brandon, FL | Hospital |
| Oak Hill Hospital | Brooksville, FL | Hospital |
| Regional Medical Center Bayonet Point | Hudson, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Radiology Associates Llc | 4486555398 | 256 |
| Sheridan Radiology Services Of Central Florida Inc | 4688762149 | 113 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Sheridan Radiology Services Of Central Florida Inc | 4688762149 | 113 |
| Entity Name | F&s Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518299957 PECOS PAC ID: 3678697836 Enrollment ID: O20160906001875 |
| Entity Name | Radiology Physician Solutions Of North Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447761101 PECOS PAC ID: 2466710306 Enrollment ID: O20181105001037 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20190729002602 |
| Entity Name | Northside Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200921001684 |
| Entity Name | Sheridan Radiology Services Of Central Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275997934 PECOS PAC ID: 4688762149 Enrollment ID: O20201008000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C Smith, MD 755 S Washington Ave, Greenville, MS 38701-5832 Ph: (870) 632-9091 | Richard C Smith, MD 2729 S Highway 65 82, Lake Village, AR 71653-6136 Ph: (870) 632-9091 |