Dr Mallory Smith, MD is a medicare enrolled "Family Medicine" physician in Reidsville, Georgia. His current practice location is
125 Memorial Dr, Reidsville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 557-3434.
Dr Mallory Smith is licensed to practice in Georgia (license number 022471) 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 1568406437.
Physician's Profile
Full Name | Dr Mallory Smith |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 125 Memorial Dr, Reidsville, Georgia |
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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: 1568406437
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 08/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 2567475643
- Enrollment ID: I20060712000148
Medical Identifiers
Medical identifiers for Dr Mallory Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568406437 | NPI | - | NPPES |
000251842G | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 022471 (Georgia) | Secondary |
207Q00000X | Family Medicine | 022471 (Georgia) | Primary |
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 Mallory Smith allows following entities to bill medicare on his behalf.
Entity Name | Tattnall Hospital Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790942381 PECOS PAC ID: 6204907124 Enrollment ID: O20080915000167 |
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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 Mallory 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 Mallory Smith, MD 210 E Derenne Ave, Savannah, GA 31405-6736 Ph: (912) 644-5300 | Dr Mallory Smith, MD 125 Memorial Dr, Reidsville, GA 30453-4641 Ph: (912) 557-3434 |
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