Dr Mark Alan Smothers, MD is a medicare enrolled "Emergency Medicine" physician in Lexington, Mississippi. His current practice location is
239 Bowling Green Rd, Lexington, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 834-1321.
Dr Mark Alan Smothers is licensed to practice in Oklahoma (license number 17006) 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 1902938624.
Physician's Profile
Full Name | Dr Mark Alan Smothers |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 239 Bowling Green Rd, Lexington, Mississippi |
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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: 1902938624
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163493123
- Enrollment ID: I20040803001288
Medical Identifiers
Medical identifiers for Dr Mark Alan Smothers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902938624 | NPI | - | NPPES |
0122914 | Medicaid | MS | |
930115308 | Other | MS | RAILROAD MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 17006 (Oklahoma) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 16296 (Mississippi) | 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 Mark Alan Smothers allows following entities to bill medicare on his behalf.
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
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Entity Name | Leake Emergency Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669028130 PECOS PAC ID: 4486985256 Enrollment ID: O20191009000078 |
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Entity Name | Grenada Emergency Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194388082 PECOS PAC ID: 2163854225 Enrollment ID: O20191112001896 |
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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 Mark Alan Smothers 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 Mark Alan Smothers, MD 239 Bowling Green Rd, Lexington, MS 39095-5167 Ph: (662) 834-1321 | Dr Mark Alan Smothers, MD 239 Bowling Green Rd, Lexington, MS 39095-5167 Ph: (662) 834-1321 |
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