Gregory T Smith, DDS in Phoenix, AZ - Medicare Dentist Provider

Gregory T Smith, DDS is a medicare enrolled "Dentist - Periodontics" provider in Phoenix, Arizona. His current practice location is 4212 N. 16th St, Phoenix Indian Medical Center, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 263-1511.

Gregory T Smith is licensed to practice in Arizona (license number D2500) 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 1285728998.

Contact Information

	Gregory T Smith, DDS
	4212 N. 16th St, Phoenix Indian Medical Center, Phoenix, AZ 85016
	(602) 263-1511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gregory T Smith
Gender	Male
Speciality	Dentist - Periodontics
Location	4212 N. 16th St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285728998
Provider Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8426156522
Enrollment ID: I20070613000753

Medical Identifiers

Medical identifiers for Gregory T Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285728998	NPI	-	NPPES
418683	Medicaid	AZ
AZ0471540	Other	AZ	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	D2500 (Arizona)	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. Gregory T Smith allows following entities to bill medicare on his behalf.

Entity Name	Gila River Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376538231 PECOS PAC ID: 0648174185 Enrollment ID: O20031125000648

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. Gregory T 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
Gregory T Smith, DDS P.o. Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1511	Gregory T Smith, DDS 4212 N. 16th St, Phoenix Indian Medical Center, Phoenix, AZ 85016 Ph: (602) 263-1511

Reviews and Comments

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Gregory T Smith, DDS - Medicare Dentist in Phoenix, AZ