John P Smith, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fairlawn, New Jersey. His current practice location is
1501 Broadway, Suite 4, Fairlawn, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 794-6505.
John P Smith is licensed to practice in New Jersey (license number 029040) 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 1043389869.
Physician's Profile
| Full Name | John P Smith |
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| Gender | Male |
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| Speciality | Internal Medicine - Cardiovascular Disease |
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| Location | 1501 Broadway, Fairlawn, New Jersey |
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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: 1043389869
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 07/01/2010
Medicare PECOS Information:
- PECOS PAC ID: 9436102837
- Enrollment ID: I20050225000236
Medical Identifiers
Medical identifiers for John P Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043389869 | NPI | - | NPPES |
| 0465607 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | 029040 (New Jersey) | 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. John P Smith allows following entities to bill medicare on his behalf.
| Entity Name | Cardiac Arrhythmia Specialist Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770619264
PECOS PAC ID: 4385823582
Enrollment ID: O20110120000182 |
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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. John P 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 |
|---|
John P Smith, DO
1501 Broadway, Suite 4,
Fairlawn, NJ 07410
Ph: (201) 794-6505 | John P Smith, DO
1501 Broadway, Suite 4,
Fairlawn, NJ 07410
Ph: (201) 794-6505 |
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