Micah Brooke Woods Smith, PT is a medicare enrolled "Physical Therapist" provider in Pelahatchie, Mississippi. Her current practice location is
201 South Brooks Ave, Pelahatchie, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 759-5006.
Micah Brooke Woods Smith is licensed to practice in Mississippi (license number PT7551) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225852528.
Healthcare Provider's Profile
| Full Name | Micah Brooke Woods Smith |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 201 South Brooks Ave, Pelahatchie, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225852528
- Provider Enumeration Date: 11/13/2024
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062948938
- Enrollment ID: I20241216002730
Medical Identifiers
Medical identifiers for Micah Brooke Woods Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225852528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT7551 (Mississippi) | Primary |
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. Micah Brooke Woods Smith allows following entities to bill medicare on her behalf.
| Provider Name | Performance Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851427132
PECOS PAC ID: 7012971047
Enrollment ID: O20041118000549 |
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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. Micah Brooke Woods 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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Micah Brooke Woods Smith, PT
921 W Beacon St,
Philadelphia, MS 39350-3229
Ph: (601) 650-0002 | Micah Brooke Woods Smith, PT
201 South Brooks Ave,
Pelahatchie, MS 39145-0001
Ph: (601) 759-5006 |
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