Dr Marissa M Smith, MD in Syracuse, NY

Dr Marissa M Smith, MD is a medicare enrolled "Pediatrics" physician in Syracuse, New York. Her current practice location is 4900 Broad Road, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 492-5437.

Dr Marissa M Smith is licensed to practice in Connecticut (license number 050185) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427218833.

Contact Information

	Dr Marissa M Smith, MD
	4900 Broad Road, Syracuse, NY 13215
	(315) 492-5437
	(315) 492-5502

Map and Direction

Physician's Profile

Full Name	Dr Marissa M Smith
Gender	Female
Speciality	Pediatrics
Location	4900 Broad Road, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427218833
Provider Enumeration Date: 06/10/2008
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 3173796257
Enrollment ID: I20181211002015

Medical Identifiers

Medical identifiers for Dr Marissa M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427218833	NPI	-	NPPES
03378998	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	050185 (Connecticut)	Secondary
2080S0010X	Pediatrics - Sports Medicine	050185 (Connecticut)	Secondary
208000000X	Pediatrics	275336 (New York)	Secondary

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 Marissa M Smith allows following entities to bill medicare on her behalf.

Entity Name	Physical Medicine & Rehab Medical Service Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336189919 PECOS PAC ID: 8123911500 Enrollment ID: O20040209000134

Entity Name	Upstate Emergency Medicine, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275589582 PECOS PAC ID: 2466443494 Enrollment ID: O20040519001106

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 Marissa M 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 Marissa M Smith, MD 251 Salina Meadows Pkwy Ste 100, Syracuse, NY 13212-4516 Ph: (315) 464-2000	Dr Marissa M Smith, MD 4900 Broad Road, Syracuse, NY 13215 Ph: (315) 492-5437

Reviews and Comments

Pediatrics Doctors in Syracuse, NY

Ms. Bonnie Lee Marr I, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210 Phone: 315-470-7379 Fax: 315-470-2923
Dr. David William Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 Phone: 315-464-5726 Fax: 315-464-2510
Dr. Audrey Victoria Vandewall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-408-5854
Shauna Thariath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030
Dr. Aisha Sultana Baig, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 East Adam St, Syracuse, NY 13210 Phone: 315-464-6323 Fax: 315-464-6322
Megan A Pinnamaneni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5420
Steven David Blatt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030

Dr Marissa M Smith, MD - Medicare Pediatrics in Syracuse, NY