Dr Christopher Chad Smith, DDS is a medicare enrolled "Dentist" provider in Monteagle, Tennessee. His current practice location is
16 South Central Ave., Monteagle, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 924-2219.
Dr Christopher Chad Smith is licensed to practice in Tennessee (license number DS8107) 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 1043437072.
Healthcare Provider's Profile
| Full Name | Dr Christopher Chad Smith |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 16 South Central Ave., Monteagle, Tennessee |
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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: 1043437072
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 07/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 8426359225
- Enrollment ID: I20151221002449
Medical Identifiers
Medical identifiers for Dr Christopher Chad Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043437072 | NPI | - | NPPES |
| 5440263 | Medicaid | TN | |
| 4122760 | Other | | BLUE CROSS BLUE SHEILD TN |
| 9177592 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 8107 (Tennessee) | Secondary |
| 122300000X | Dentist | DS8107 (Tennessee) | 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 Christopher Chad Smith allows following entities to bill medicare on his behalf.
| Entity Name | Monteagle Family Dentistry Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114234358
PECOS PAC ID: 3173824976
Enrollment ID: O20151221002303 |
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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 Christopher Chad 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 Christopher Chad Smith, DDS
P.o. Box 219, 16 South Central Ave,
Monteagle, TN 37356
Ph: (931) 924-2219 | Dr Christopher Chad Smith, DDS
16 South Central Ave.,
Monteagle, TN 37356
Ph: (931) 924-2219 |
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