Dr Dustin Wade Smith, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Gilmer, Texas. His current practice location is
359 N Cypress St Ste 102, Gilmer, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 300-0661.
Dr Dustin Wade Smith is licensed to practice in Texas (license number 1717) 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 1164468344.
Healthcare Provider's Profile
| Full Name | Dr Dustin Wade Smith |
|---|
| Gender | Male |
|---|
| Speciality | Podiatrist - Foot & Ankle Surgery |
|---|
| Location | 359 N Cypress St Ste 102, Gilmer, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1164468344
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 11/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688636111
- Enrollment ID: I20041027001243
Medical Identifiers
Medical identifiers for Dr Dustin Wade Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164468344 | NPI | - | NPPES |
| 1164468344 | Other | TX | SCOTT AND WHITE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1717 (Texas) | 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. Dr Dustin Wade Smith allows following entities to bill medicare on his behalf.
| Provider Name | Back Office Management Services Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1265739973
PECOS PAC ID: 0143361824
Enrollment ID: O20110601000882 |
|---|
| Provider Name | Greater Foundation Foot Clinics East Texas, Pllc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1801407887
PECOS PAC ID: 7911312822
Enrollment ID: O20210226000007 |
|---|
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. Dr Dustin Wade 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 |
|---|
Dr Dustin Wade Smith, DPM
359 N Cypress St Ste 102,
Gilmer, TX 75644-2348
Ph: (903) 300-0661 | Dr Dustin Wade Smith, DPM
359 N Cypress St Ste 102,
Gilmer, TX 75644-2348
Ph: (903) 300-0661 |
Reviews and Comments