Ronald D Smith Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Prescott, Arizona. He went to University Of Arkansas College Of Medicine and graduated in 1996 and has 30 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Northeast Arkansas Clinic Charitable Foundation, Inc. and his current practice location is
1001 Willow Creek Rd Ste 3200, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 771-5595.
Ronald D Smith Jr is licensed to practice in Arizona (license number 79278) 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 1245421247.
Physician's Profile
| Full Name | Ronald D Smith Jr |
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| Gender | Male |
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| Speciality | Cardiac Surgery |
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| Experience | 30 Years |
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| Location | 1001 Willow Creek Rd Ste 3200, Prescott, Arizona |
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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:
- Ronald D Smith Jr attended and graduated from University Of Arkansas College Of Medicine in 1996
NPI Data:
- NPI Number: 1245421247
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 04/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 9537258587
- Enrollment ID: I20071129000111
Medical Identifiers
Medical identifiers for Ronald D Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245421247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | DR.0059126 (Colorado) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 00979 (North Carolina) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 79278 (Arizona) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | E-5352 (Arkansas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeast Arkansas Clinic Charitable Foundation, Inc. | 2961547526 | 297 |
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. Ronald D Smith Jr allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861721839
PECOS PAC ID: 2961547526
Enrollment ID: O20100315000190 |
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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. Ronald D Smith Jr 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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Ronald D Smith Jr, MD
Po Box 10880,
Prescott, AZ 86304-0880
Ph: (602) 406-4786 | Ronald D Smith Jr, MD
1001 Willow Creek Rd Ste 3200,
Prescott, AZ 86301-1614
Ph: (928) 771-5595 |
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