Lisa Elphick Smale, DO - Medicare Emergency Medicine in Dover, DE

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Lisa Elphick Smale, DO is a medicare enrolled "Emergency Medicine" physician in Dover, Delaware. Her current practice location is 640 S State St, Dover, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 674-4700.

Lisa Elphick Smale is licensed to practice in Delaware (license number C2-0012047) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902216443.

Contact Information

Lisa Elphick Smale, DO
640 S State St,
Dover, DE 19901-3530
(302) 674-4700
(302) 735-3845

Map and Direction




Physician's Profile

Full NameLisa Elphick Smale
GenderFemale
SpecialityEmergency Medicine
Location640 S State St, Dover, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902216443
  • Provider Enumeration Date: 05/06/2014
  • Last Update Date: 05/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436415809
  • Enrollment ID: I20171117002646

Medical Identifiers

Medical identifiers for Lisa Elphick Smale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902216443NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine C2-0012047 (Delaware)Primary
207P00000XEmergency Medicine OS20416 (Florida)Secondary

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. Lisa Elphick Smale allows following entities to bill medicare on her behalf.
Entity NameSussex Emergency Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275512105
PECOS PAC ID: 4183516065
Enrollment ID: O20040325001664
Entity NameBayhealth Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073012696
PECOS PAC ID: 7719240696
Enrollment ID: O20180405000978
Entity NameAspira Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295394039
PECOS PAC ID: 4486080389
Enrollment ID: O20200213001301
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366539421
PECOS PAC ID: 0547173866
Enrollment ID: O20240202000561

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. Lisa Elphick Smale 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 AddressPractice Location Address
Lisa Elphick Smale, DO
104 Mallard Dr,
Lewes, DE 19958-1606

Ph: (484) 300-6043		Lisa Elphick Smale, DO
640 S State St,
Dover, DE 19901-3530

Ph: (302) 674-4700

Reviews and Comments


Emergency Medicine Doctors in Dover, DE

Aaron Fedor,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 640 S State St, Dover, DE 19901
Phone: 302-744-6156    Fax: 302-738-3845
Dr. John P. Gusdon, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 640 S State St, Dover, DE 19901
Phone: 302-744-6156    Fax: 302-735-3845
Dean E. Johnson, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 640 S State St, Dover, DE 19901
Phone: 302-744-6156    Fax: 302-735-3845
Frank Mayer Iii,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 640 S State St, Dover, DE 19901
Phone: 302-674-4700    Fax: 302-735-3845
Kokou Kekeli Israel Ahama, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 640 S State St, Dover, DE 19901
Phone: 302-744-6999    
Dr. Julia Michelle Cullen, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 640 S State St, Dover, DE 19901
Phone: 302-744-6156    Fax: 302-735-3845
Dr. Lareb Altaf, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 640 S State St, Dover, DE 19901
Phone: 302-744-6999    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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