Elizabeth R Smith, MD in Salt Lake City, UT

Elizabeth R Smith, MD is a medicare enrolled "Pediatrics" physician in Salt Lake City, Utah. Her current practice location is 3690 S Main St, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 464-8929.

Elizabeth R Smith is licensed to practice in Utah (license number 5211287-1205) 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 1336239961.

Contact Information

	Elizabeth R Smith, MD
	3690 S Main St, Salt Lake City, UT 84115-4423
	(801) 464-8929
	Not Available

Map and Direction

Physician's Profile

Full Name	Elizabeth R Smith
Gender	Female
Speciality	Pediatrics
Location	3690 S Main St, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336239961
Provider Enumeration Date: 10/13/2006
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 5496748105
Enrollment ID: I20040407001113

Medical Identifiers

Medical identifiers for Elizabeth R Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336239961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	5211287-1205 (Utah)	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. Elizabeth R Smith allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Elizabeth R 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
Elizabeth R Smith, MD Po Box 413021, Salt Lake City, UT 84141-3021 Ph: (801) 213-3900	Elizabeth R Smith, MD 3690 S Main St, Salt Lake City, UT 84115-4423 Ph: (801) 464-8929

Reviews and Comments

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Elizabeth R Smith, MD - Medicare Pediatrics in Salt Lake City, UT