Clyde R Smith, MD - Medicare Family Practice in Memphis, TN

Clyde R Smith, MD is a medicare enrolled "Family Medicine" physician in Memphis, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeastern Physician Services Pc and his current practice location is 6019 Walnut Grove Rd, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 226-3610.

Clyde R Smith is licensed to practice in Tennessee (license number 16756) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881676526.

Contact Information

Clyde R Smith, MD
6019 Walnut Grove Rd,
Memphis, TN 38120-2113
(901) 226-3610
(901) 226-3612

Map and Direction




Physician's Profile

Full NameClyde R Smith
GenderMale
SpecialityFamily Practice
Experience45 Years
Location6019 Walnut Grove Rd, Memphis, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clyde R Smith attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1979
  NPI Data:
  • NPI Number: 1881676526
  • Provider Enumeration Date: 11/17/2005
  • Last Update Date: 03/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6305834292
  • Enrollment ID: I20040430001282

Medical Identifiers

Medical identifiers for Clyde R Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881676526NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine E-14356 (Arkansas)Secondary
207R00000XInternal Medicine 16756 (Tennessee)Secondary
207Q00000XFamily Medicine 16756 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial HospitalMemphis, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852499

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. Clyde R Smith allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571

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. Clyde R 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 AddressPractice Location Address
Clyde R Smith, MD
2280 Riverdale Rd,
Germantown, TN 38138-4518

Ph: (901) 573-0325
Clyde R Smith, MD
6019 Walnut Grove Rd,
Memphis, TN 38120-2113

Ph: (901) 226-3610

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.