Dr Jeffrey Ralph Smith, MD is a medicare enrolled "Dermatology" physician in Watertown, South Dakota. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Prairie Lakes Health Care Systems Inc and his current practice location is
401 9th Ave Nw, Watertown, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(646) 962-3376.
Dr Jeffrey Ralph Smith is licensed to practice in South Dakota (license number 9995) 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 1245550425.
Physician's Profile
| Full Name | Dr Jeffrey Ralph Smith |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 15 Years |
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| Location | 401 9th Ave Nw, Watertown, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jeffrey Ralph Smith attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2010
NPI Data:
- NPI Number: 1245550425
- Provider Enumeration Date: 06/10/2010
- Last Update Date: 08/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 5698993111
- Enrollment ID: I20160914001293
Medical Identifiers
Medical identifiers for Dr Jeffrey Ralph Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245550425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 264037 (New York) | Secondary |
| 207R00000X | Internal Medicine | BP10038253 (Texas) | Secondary |
| 207N00000X | Dermatology | 9995 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Prairie Lakes Health Care Systems Inc | 8628987823 | 122 |
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. Dr Jeffrey Ralph Smith allows following entities to bill medicare on his behalf.
| Entity Name | Prairie Lakes Health Care Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720166002
PECOS PAC ID: 8628987823
Enrollment ID: O20040202000187 |
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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. Dr Jeffrey Ralph 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 |
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Dr Jeffrey Ralph Smith, MD
401 9th Ave Nw,
Watertown, SD 57201-1548
Ph: (646) 962-3376 | Dr Jeffrey Ralph Smith, MD
401 9th Ave Nw,
Watertown, SD 57201-1548
Ph: (646) 962-3376 |
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