Allan Royal Smith Iii, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Boone, North Carolina. His current practice location is
336 Deerfield Rd, Boone, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 999-8888.
Allan Royal Smith Iii is licensed to practice in North Carolina (license number 59492) 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 1881696748.
Physician's Profile
Full Name | Allan Royal Smith Iii |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 336 Deerfield Rd, Boone, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881696748
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 10/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729036140
- Enrollment ID: I20050120000051
Medical Identifiers
Medical identifiers for Allan Royal Smith Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881696748 | NPI | - | NPPES |
1881686748 | Medicaid | ME | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD442844 (Pennsylvania) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD23248 (Maine) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 59492 (North Carolina) | 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. Allan Royal Smith Iii allows following entities to bill medicare on his behalf.
Entity Name | Pathologists Diagnostic Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942278411 PECOS PAC ID: 9335113513 Enrollment ID: O20040824000104 |
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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. Allan Royal Smith Iii 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 |
Allan Royal Smith Iii, MD Po Box 30369, Winston Salem, NC 27130-0369 Ph: (336) 999-8888 | Allan Royal Smith Iii, MD 336 Deerfield Rd, Boone, NC 28607-5008 Ph: (336) 999-8888 |
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