Shannon L Smith Md Pa is a medicare enrolled "Ophthalmology" provider in Nacogdoches, Texas. Their current practice location is
3302 Ne Stallings Dr, Nacogdoches, Texas. You can reach out to their office (for appointments etc.) via phone at
(936) 564-3600.
Shannon L Smith Md Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Shannon L Smith Md Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1750550224.
Healthcare Provider's Profile
Full Name | Shannon L Smith Md Pa |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 3302 Ne Stallings Dr, Nacogdoches, Texas |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750550224
- Provider Enumeration Date: 02/28/2008
- Last Update Date: 01/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 1759460827
- Enrollment ID: O20080501000248
Medical Identifiers
Medical identifiers for Shannon L Smith Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750550224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Shannon L Smith Md Pa acts as a billing entity for following providers:
Provider Name | Shannon L Smith |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1598876237 PECOS PAC ID: 4486733557 Enrollment ID: I20080501000240 |
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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. Shannon L Smith Md Pa 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 |
Shannon L Smith Md Pa 3302 Ne Stallings Dr, Nacogdoches, TX 75965-8727 Ph: (936) 564-3600 | Shannon L Smith Md Pa 3302 Ne Stallings Dr, Nacogdoches, TX 75965-8727 Ph: (936) 564-3600 |
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