Jerome Charles Smith, MD in Sonoma, CA

Jerome Charles Smith, MD is a medicare enrolled "Pediatrics" physician in Sonoma, California. His current practice location is 651 1st St W, Suite H, Sonoma, California. You can reach out to his office (for appointments etc.) via phone at (707) 938-3870.

Jerome Charles Smith is licensed to practice in California (license number A66490) 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 1295708675.

Contact Information

	Jerome Charles Smith, MD
	651 1st St W, Suite H, Sonoma, CA 95476-7045
	(707) 938-3870
	(707) 938-3895

Map and Direction

Physician's Profile

Full Name	Jerome Charles Smith
Gender	Male
Speciality	Pediatrics
Location	651 1st St W, Sonoma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295708675
Provider Enumeration Date: 02/08/2006
Last Update Date: 10/06/2011

Medicare PECOS Information:

PECOS PAC ID: 4385818426
Enrollment ID: I20111129000487

Medical Identifiers

Medical identifiers for Jerome Charles Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295708675	NPI	-	NPPES
FHC53855F	Medicaid	CA
262135500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME83173 (Florida)	Secondary
208000000X	Pediatrics	A66490 (California)	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. Jerome Charles Smith allows following entities to bill medicare on his behalf.

Entity Name	Prima Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811217946 PECOS PAC ID: 6406040138 Enrollment ID: O20101027000334

Entity Name	Regents Univ Of California Ucsf
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375

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. Jerome Charles 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
Jerome Charles Smith, MD 651 1st St W, Suite H, Sonoma, CA 95476-7045 Ph: (707) 938-3870	Jerome Charles Smith, MD 651 1st St W, Suite H, Sonoma, CA 95476-7045 Ph: (707) 938-3870

Reviews and Comments

Pediatrics Doctors in Sonoma, CA

Christina Sullivan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19270 Sonoma Hwy 12, Sonoma, CA 95476 Phone: 707-939-6070
Janet E Young, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Arnold Drive, Sonoma, CA 95431 Phone: 707-938-6556
Mr. Robert Martin Rosenblatt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15000 Arnold Drive, Sonoma, CA 95431 Phone: 707-938-6556
Elizabeth Rose Gawron, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 181 Andrieux St, Suite 208, Sonoma, CA 95476 Phone: 707-935-9000 Fax: 707-935-8374
Mr. Charles Francis De Torres, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 181 Andrieux St, Suite 208, Sonoma, CA 95476 Phone: 707-935-9000 Fax: 707-935-8374

Jerome Charles Smith, MD - Medicare Pediatrics in Sonoma, CA