Jason L Smith, M D is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Rome, Georgia. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1981 and has 43 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Northwest Georgia Dermatology And Skin Surgery Center Pc and his current practice location is
103 John Maddox Dr Nw, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 235-7711.
Jason L Smith is licensed to practice in Georgia (license number 032302) 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 1578586400.
Physician's Profile
Full Name | Jason L Smith |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 43 Years |
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Location | 103 John Maddox Dr Nw, Rome, Georgia |
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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. |
Medical Education and Training:
- Jason L Smith attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1981
NPI Data:
- NPI Number: 1578586400
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 02/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 6800817297
- Enrollment ID: I20100928000595
Medical Identifiers
Medical identifiers for Jason L Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578586400 | NPI | - | NPPES |
000398384B | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207NS0135X | Dermatology - Procedural Dermatology | 032302 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northwest Georgia Dermatology And Skin Surgery Center Pc | 8628066099 | 6 |
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. Jason L Smith allows following entities to bill medicare on his behalf.
Entity Name | Northwest Georgia Dermatology & Skin Surgery Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467641381 PECOS PAC ID: 8628066099 Enrollment ID: O20040504001003 |
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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. Jason L 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 |
Jason L Smith, M D 103 John Maddox Dr Nw, Rome, GA 30165-1419 Ph: (706) 235-7711 | Jason L Smith, M D 103 John Maddox Dr Nw, Rome, GA 30165-1419 Ph: (706) 235-7711 |
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