Erich Waverly Smith, PA-C is a medicare enrolled "Physician Assistant - Medical" in La Grange, North Carolina. He graduated from nursing school in 1995 and has 31 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Morcom Medical Consultants, Pllc and 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
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 1689996613.
Provider's Profile
| Full Name | Erich Waverly Smith |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 31 Years |
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| Location | 2154 Sutton Hooten Ln, La Grange, North Carolina |
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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:
- Erich Waverly Smith graduated from nursing school in 1995
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 |
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| 1689996613 | NPI | - | NPPES |
| 102048 | Other | NC | MEDICAL BOARD LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 102048 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Morcom Medical Consultants, Pllc | 4981773884 | 4 |
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. Erich Waverly Smith allows following entities to bill medicare on his behalf.
| Entity Name | Morcom Medical Consultants, PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447314075
PECOS PAC ID: 4981773884
Enrollment ID: O20080519000418 |
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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. 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 |
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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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