Erich Waverly Smith, PA-C is a medicare enrolled "Physician Assistant - Medical" in La Grange, North Carolina. His current practice location is
2154 Sutton Hooten Ln, La Grange, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 566-3298.
Erich Waverly Smith is licensed to practice in North Carolina (license number 102048) 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 1689996613.
Provider's Profile
| Full Name | Erich Waverly Smith |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 2154 Sutton Hooten Ln, La Grange, North Carolina |
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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: 1689996613
- Provider Enumeration Date: 02/17/2010
- Last Update Date: 02/17/2010
Medicare PECOS Information:
- PECOS PAC ID: 4789710914
- Enrollment ID: I20100326001000
Medical Identifiers
Medical identifiers for Erich Waverly Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689996613 | NPI | - | NPPES |
| 102048 | Other | NC | MEDICAL BOARD LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 102048 (North Carolina) | Primary |
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. Erich Waverly 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 |
Erich Waverly Smith, PA-C 2154 Sutton Hooten Ln, La Grange, NC 28551-8252 Ph: (252) 566-3298 | Erich Waverly Smith, PA-C 2154 Sutton Hooten Ln, La Grange, NC 28551-8252 Ph: (252) 566-3298 |
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