Dr Matthew Thomas Smetanick, DO is a medicare enrolled "Dermatology" physician in Burnet, Texas. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2004 and has 20 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Mountain West Derm - Blackhart Pllc and his current practice location is
200 John Hoover Pkwy, Bldg 4, Suite B, Burnet, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 930-3909.
Dr Matthew Thomas Smetanick is licensed to practice in Texas (license number N4111) 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 1306023114.
Physician's Profile
| Full Name | Dr Matthew Thomas Smetanick |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 20 Years |
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| Location | 200 John Hoover Pkwy, Burnet, Texas |
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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 Matthew Thomas Smetanick attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004
NPI Data:
- NPI Number: 1306023114
- Provider Enumeration Date: 01/23/2008
- Last Update Date: 05/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 3678647708
- Enrollment ID: I20091006000230
Medical Identifiers
Medical identifiers for Dr Matthew Thomas Smetanick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306023114 | NPI | - | NPPES |
| N4111 | Other | TX | TX MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | OS014480 (Pennsylvania) | Secondary |
| 207N00000X | Dermatology | N4111 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mountain West Derm - Blackhart Pllc | 1153609813 | 105 |
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 Matthew Thomas Smetanick allows following entities to bill medicare on his behalf.
| Entity Name | Mountain West Derm - Austin Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396267332
PECOS PAC ID: 8628344280
Enrollment ID: O20171026000092 |
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| Entity Name | Mountain West Derm - Blackhart Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366018848
PECOS PAC ID: 1153609813
Enrollment ID: O20211018000436 |
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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 Matthew Thomas Smetanick 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 Matthew Thomas Smetanick, DO
4513 Williams Dr,
Georgetown, TX 78633-1302
Ph: (512) 930-3909 | Dr Matthew Thomas Smetanick, DO
200 John Hoover Pkwy, Bldg 4, Suite B,
Burnet, TX 78611
Ph: (512) 930-3909 |
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