Dr Susan Elizabeth Smith, MD is a medicare enrolled "Ophthalmology" physician in Fremont, Ohio. She went to Medical College Of Ohio and graduated in 2002 and has 22 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Eye Centers Of Northwest Ohio Llc and her current practice location is
2311 W Hayes Ave, Fremont, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 334-8121.
Dr Susan Elizabeth Smith is licensed to practice in Ohio (license number 35095218) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922242213.
Physician's Profile
| Full Name | Dr Susan Elizabeth Smith |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 22 Years |
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| Location | 2311 W Hayes Ave, Fremont, Ohio |
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| Accepts Medicare Assignments | Yes. She 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 Susan Elizabeth Smith attended and graduated from Medical College Of Ohio in 2002
NPI Data:
- NPI Number: 1922242213
- Provider Enumeration Date: 04/30/2009
- Last Update Date: 08/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 3274663273
- Enrollment ID: I20100618000322
Medical Identifiers
Medical identifiers for Dr Susan Elizabeth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922242213 | NPI | - | NPPES |
| 3053449 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 35095218 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eye Centers Of Northwest Ohio Llc | 0446314892 | 5 |
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 Susan Elizabeth Smith allows following entities to bill medicare on her behalf.
| Entity Name | Eye Centers Of Northwest Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124284518
PECOS PAC ID: 0446314892
Enrollment ID: O20090129000189 |
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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 Susan Elizabeth 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 |
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Dr Susan Elizabeth Smith, MD
2311 W Hayes Ave,
Fremont, OH 43420-2634
Ph: (419) 334-8121 | Dr Susan Elizabeth Smith, MD
2311 W Hayes Ave,
Fremont, OH 43420-2634
Ph: (419) 334-8121 |
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