Eric Nathan Smernoff, PH D is a medicare enrolled "Clinical Neuropsychologist" physician in Dallas, Texas. His current practice location is
6333 Forest Park Rd Ste Bla .110, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at
(214) 648-4646.
Eric Nathan Smernoff is licensed to practice in Texas (license number 32281) 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 1013977800.
Physician's Profile
| Full Name | Eric Nathan Smernoff |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 6333 Forest Park Rd Ste Bla .110, Dallas, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013977800
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416941034
- Enrollment ID: I20040521000933
Medical Identifiers
Medical identifiers for Eric Nathan Smernoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013977800 | NPI | - | NPPES |
| 86847A | Other | TX | BCBS |
| 1649311-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 32281 (Texas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 32281 (Texas) | 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. Eric Nathan Smernoff allows following entities to bill medicare on his behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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. Eric Nathan Smernoff 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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Eric Nathan Smernoff, PH D
6333 Forest Park Rd Ste Bla .110,
Dallas, TX 75235-5461
Ph: (214) 648-4646 | Eric Nathan Smernoff, PH D
6333 Forest Park Rd Ste Bla .110,
Dallas, TX 75235-5461
Ph: (214) 648-4646 |
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