Jack Coldwell Smith Iii, MD is a medicare enrolled "Internal Medicine" physician in Carthage, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Etmc Physician Group, Inc. and his current practice location is
409 Cottage Rd, Carthage, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 694-4824.
Jack Coldwell Smith Iii is licensed to practice in Texas (license number L3131) 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 1871538041.
Physician's Profile
| Full Name | Jack Coldwell Smith Iii |
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| Gender | Male |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 24 Years |
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| Location | 409 Cottage Rd, Carthage, 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:
- Jack Coldwell Smith Iii attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2000
NPI Data:
- NPI Number: 1871538041
- Provider Enumeration Date: 06/19/2006
- Last Update Date: 05/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072530518
- Enrollment ID: I20051025000161
Medical Identifiers
Medical identifiers for Jack Coldwell Smith Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871538041 | NPI | - | NPPES |
| 159534003 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | L3131 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Etmc Physician Group, Inc. | 4486915600 | 278 |
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. Jack Coldwell Smith Iii allows following entities to bill medicare on his behalf.
| Entity Name | Etmc Physician Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106 |
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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. Jack Coldwell Smith Iii 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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Jack Coldwell Smith Iii, MD
409 Cottage Rd,
Carthage, TX 75633-1466
Ph: (036) 944-8249 | Jack Coldwell Smith Iii, MD
409 Cottage Rd,
Carthage, TX 75633-1466
Ph: (903) 694-4824 |
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