Dr Jacob Glen Smith, DC is a medicare enrolled "Chiropractor" provider in Green River, Wyoming. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Chiropractic. His current practice location is
107 Commerce Dr, Suite A, Green River, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 871-4411.
Dr Jacob Glen Smith is licensed to practice in Wyoming (license number 761) 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 1255790788.
Healthcare Provider's Profile
| Full Name | Dr Jacob Glen Smith |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 9 Years |
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| Location | 107 Commerce Dr, Green River, Wyoming |
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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:
- Dr Jacob Glen Smith graduated from medical school in 2015
NPI Data:
- NPI Number: 1255790788
- Provider Enumeration Date: 02/11/2016
- Last Update Date: 06/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 0042593618
- Enrollment ID: I20170207002357
Medical Identifiers
Medical identifiers for Dr Jacob Glen Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255790788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 761 (Wyoming) | 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 Jacob Glen Smith allows following entities to bill medicare on his behalf.
| Provider Name | Complete Chiropractics Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376089581
PECOS PAC ID: 8224311899
Enrollment ID: O20170204000061 |
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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. Dr Jacob Glen 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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Dr Jacob Glen Smith, DC
107 Commerce Dr, Suite A,
Green River, WY 82935-6179
Ph: (307) 871-4411 | Dr Jacob Glen Smith, DC
107 Commerce Dr, Suite A,
Green River, WY 82935-6179
Ph: (307) 871-4411 |
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