Jonathan Colby Smith, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Little Rock, Arkansas. His current practice location is
4301 W Markham, Slot 602, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(903) 826-2707.
Jonathan Colby Smith is licensed to practice in * (Not Available) (license number ) 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 1316575657.
Physician's Profile
Full Name | Jonathan Colby Smith |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4301 W Markham, Slot 602, Little Rock, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316575657
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 09/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608290291
- Enrollment ID: I20200715001889
Medical Identifiers
Medical identifiers for Jonathan Colby Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316575657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | V2278 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Jonathan Colby 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 |
Jonathan Colby Smith, DO 6 Riverside Pl, Texarkana, TX 75503-9455 Ph: (903) 826-2707 | Jonathan Colby Smith, DO 4301 W Markham, Slot 602, Little Rock, AR 72205-7101 Ph: (903) 826-2707 |
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