Mr Larry Derrell Smith, PA-C in Cottonwood, AZ - Medicare Physician Assistant

Mr Larry Derrell Smith, PA-C is a medicare enrolled "Physician Assistant" in Cottonwood, Arizona. He graduated from nursing school in 1994 and has 32 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northern Arizona Healthcare Corporation, Shasta Orthopedics And Sports Medicine A Medical Corporation and his current practice location is 340 S Willard St Ste 101, Cottonwood, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 649-7960.

Mr Larry Derrell Smith is licensed to practice in Arizona (license number 1838) 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 1558332650.

Contact Information

	Mr Larry Derrell Smith, PA-C
	340 S Willard St Ste 101, Cottonwood, AZ 86326-4126
	(928) 649-7960
	(928) 634-1117

Map and Direction

Provider's Profile

Full Name	Mr Larry Derrell Smith
Gender	Male
Speciality	Physician Assistant
Experience	32 Years
Location	340 S Willard St Ste 101, Cottonwood, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Larry Derrell Smith graduated from nursing school in 1994

NPI Data:

NPI Number: 1558332650
Provider Enumeration Date: 01/28/2006
Last Update Date: 06/19/2025

Medicare PECOS Information:

PECOS PAC ID: 2264522572
Enrollment ID: I20071226000077

Medical Identifiers

Medical identifiers for Mr Larry Derrell Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558332650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA53072 (California)	Secondary
363AS0400X	Physician Assistant - Surgical	PA53072 (California)	Secondary
363A00000X	Physician Assistant	1838 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Verde Valley Medical Center	Cottonwood, AZ	Hospital
Mercy Medical Center Redding	Redding, CA	Hospital
Shasta Regional Medical Center	Redding, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Arizona Healthcare Corporation	3577473362	382
Shasta Orthopedics And Sports Medicine A Medical Corporation	3375533276	34

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. Mr Larry Derrell 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
Mr Larry Derrell Smith, PA-C 1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235	Mr Larry Derrell Smith, PA-C 340 S Willard St Ste 101, Cottonwood, AZ 86326-4126 Ph: (928) 649-7960

Reviews and Comments

Physician Assistant Nurses in Cottonwood, AZ

Mrs. Kim Marie Carlton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-6025 Fax: 928-639-5604
Mr. Steven Herrman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 651 W Mingus Ave Ste 1f, Cottonwood, AZ 86326 Phone: 928-634-0123
Elaine Mary Accomando, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-6025 Fax: 928-639-6541
Roxann G Lafferty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 S Willard St, Ste. 120, Cottonwood, AZ 86326 Phone: 928-634-2574 Fax: 928-634-2841
Timothy J Fitch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 S Willard St, Cottonwood, AZ 86326 Phone: 928-649-7960 Fax: 928-634-1117
Mr. Corey Ellis Sonnett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-6025 Fax: 928-634-1117
Tylie Polatis, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln # 2c, Cottonwood, AZ 86326 Phone: 928-634-1331

Mr Larry Derrell Smith, PA-C - Medicare Physician Assistant in Cottonwood, AZ