Dr Charles Gray Smith, MD is a medicare enrolled "Family Medicine" physician in Monterey, Tennessee. His current practice location is
400 W Crawford Ave, Monterey, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 839-2224.
Dr Charles Gray Smith is licensed to practice in Tennessee (license number TN15753) 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 1144217803.
Physician's Profile
| Full Name | Dr Charles Gray Smith |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 400 W Crawford Ave, Monterey, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144217803
- Provider Enumeration Date: 09/28/2005
- Last Update Date: 07/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 7911191283
- Enrollment ID: I20101101000047
Medical Identifiers
Medical identifiers for Dr Charles Gray Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144217803 | NPI | - | NPPES |
| 3846287 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | TN15753 (Tennessee) | 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. Dr Charles Gray 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 |
|---|
Dr Charles Gray Smith, MD
400 W Crawford Ave,
Monterey, TN 38574-1166
Ph: (931) 839-2224 | Dr Charles Gray Smith, MD
400 W Crawford Ave,
Monterey, TN 38574
Ph: (931) 839-2224 |
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