Caleb Amos Smith, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Prospect Hill, North Carolina. His current practice location is
322 Main St, Prospect Hill, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 562-3311.
Caleb Amos Smith is licensed to practice in North Carolina (license number RTL22-0213) 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 1871238980.
Physician's Profile
Full Name | Caleb Amos Smith |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 322 Main St, Prospect Hill, 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: 1871238980
- Provider Enumeration Date: 05/03/2022
- Last Update Date: 06/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133506983
- Enrollment ID: I20220516002941
Medical Identifiers
Medical identifiers for Caleb Amos Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871238980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RTL22-0213 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | RTL22-0213 (North Carolina) | 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. Caleb Amos 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 |
Caleb Amos Smith, 590 Manning Dr, Chapel Hill, NC 27599-6119 Ph: (984) 974-0210 | Caleb Amos Smith, 322 Main St, Prospect Hill, NC 27314-9438 Ph: (336) 562-3311 |
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