Brenton Walter Smith, MD in Laughlin Afb, TX

Brenton Walter Smith, MD - Medicare Family Medicine in Laughlin Afb, TX

Brenton Walter Smith, MD is a medicare enrolled "Family Medicine" physician in Laughlin Afb, Texas. His current practice location is 590 Mitchell Blvd Bldg 375, Laughlin Afb, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 298-6471.

Brenton Walter Smith is licensed to practice in Minnesota (license number 66657) 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 1811489131.

Contact Information

	Brenton Walter Smith, MD
	590 Mitchell Blvd Bldg 375, Laughlin Afb, TX 78843-5242
	(830) 298-6471
	(910) 907-6099

Map and Direction

Physician's Profile

Full Name	Brenton Walter Smith
Gender	Male
Speciality	Family Medicine
Location	590 Mitchell Blvd Bldg 375, Laughlin Afb, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811489131
Provider Enumeration Date: 06/01/2018
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 8921427725
Enrollment ID: I20200928003208

Medical Identifiers

Medical identifiers for Brenton Walter Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811489131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	66657 (Minnesota)	Primary

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. Brenton Walter 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
Brenton Walter Smith, MD 590 Mitchell Blvd Bldg 375, Laughlin Afb, TX 78843-5242 Ph: (830) 298-6471	Brenton Walter Smith, MD 590 Mitchell Blvd Bldg 375, Laughlin Afb, TX 78843-5242 Ph: (830) 298-6471