Dr Lovell Bernard Smith Jr, MD is a medicare enrolled "Surgery" physician in Collierville, Tennessee. His current practice location is
554 Green Tree Cv, Ste 202, Collierville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 570-1775.
Dr Lovell Bernard Smith Jr is licensed to practice in Tennessee (license number 39730) 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 1528064789.
Physician's Profile
| Full Name | Dr Lovell Bernard Smith Jr |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 554 Green Tree Cv, Collierville, 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: 1528064789
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 05/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395774657
- Enrollment ID: I20050806000141
Medical Identifiers
Medical identifiers for Dr Lovell Bernard Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528064789 | NPI | - | NPPES |
| 1507654 | Medicaid | TN | |
| 08084063 | Medicaid | MS | |
| 4313546 | Other | TN | BS TN |
| 103I021824 | Other | TN | MEDICARE PTAN |
| 200419540A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 39730 (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 Lovell Bernard Smith Jr 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 Lovell Bernard Smith Jr, MD
Po Box 38391,
Germantown, TN 38183-0391
Ph: (901) 570-1775 | Dr Lovell Bernard Smith Jr, MD
554 Green Tree Cv, Ste 202,
Collierville, TN 38017-2551
Ph: (901) 570-1775 |
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