Lisa Mabry Smith, MD - Medicare Diagnostic Radiology in Gulfport, MS

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Lisa Mabry Smith, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gulfport, Mississippi. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Usa Health Physician Billing Services Llc, Gci Radiology Pllc, Northland Radiology Inc and her current practice location is 14257 Dedeaux Rd, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 314-7226.

Lisa Mabry Smith is licensed to practice in Mississippi (license number 24862) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912298498.

Contact Information

Lisa Mabry Smith, MD
14257 Dedeaux Rd,
Gulfport, MS 39503-3369
(228) 314-7226
(228) 314-7227

Map and Direction




Physician's Profile

Full NameLisa Mabry Smith
GenderFemale
SpecialityDiagnostic Radiology
Experience13 Years
Location14257 Dedeaux Rd, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Mabry Smith attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1912298498
  • Provider Enumeration Date: 05/02/2011
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6406092295
  • Enrollment ID: I20160721002260

Medical Identifiers

Medical identifiers for Lisa Mabry Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912298498NPI-NPPES
00536826MedicaidMS
568617YSJ9OtherMSMEDICARE
598607OtherMSBCBS MS
P01842090OtherMSRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 32125 (Alabama)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology 24862 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Merit Health BiloxiBiloxi, MSHospital
Usa Health University HospitalMobile, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Usa Health Physician Billing Services Llc9931436912277
Gci Radiology Pllc42849971078
Northland Radiology Inc771988474117

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 Mabry Smith allows following entities to bill medicare on her behalf.
Entity NameUniversity Of South Alabama
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992746838
PECOS PAC ID: 3072425149
Enrollment ID: O20040115000773
Entity NameUsa Health Physician Billing Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720645468
PECOS PAC ID: 9931436912
Enrollment ID: O20190814000827
Entity NameUsa Health Physician Billing Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871150508
PECOS PAC ID: 9931436912
Enrollment ID: O20200125000134

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 Mabry 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 AddressPractice Location Address
Lisa Mabry Smith, MD
Po Box 10370,
Gulfport, MS 39505-0370

Ph: (228) 314-7226		Lisa Mabry Smith, MD
14257 Dedeaux Rd,
Gulfport, MS 39503-3369

Ph: (228) 314-7226

Reviews and Comments


Radiology Doctors in Gulfport, MS

Dr. Eric D. Lawson, M.D.
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Dr. Jason Bradley Crowder, M.D.
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Dr. Frank Alan Lovell, M.D.
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Dr. Barbara N Massony, M.D.
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Phone: 228-864-4392    Fax: 228-868-7103
Dr. Judith L. Corey, M.D.
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Practice Location: 4320 15th St, Suite A, Gulfport, MS 39501
Phone: 228-864-4392    Fax: 228-868-7103

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.