Marlo Monique Smith, MD is a medicare enrolled "Pediatrics" physician in Port Royal, South Carolina. Her current practice location is
1320 Ribaut Rd, Port Royal, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 986-0900.
Marlo Monique Smith is licensed to practice in South Carolina (license number 19944) 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 1790757359.
Physician's Profile
Full Name | Marlo Monique Smith |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1320 Ribaut Rd, Port Royal, South Carolina |
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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: 1790757359
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 03/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 1456249408
- Enrollment ID: I20040310000329
Medical Identifiers
Medical identifiers for Marlo Monique Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790757359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 19944 (South Carolina) | 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. Marlo Monique Smith allows following entities to bill medicare on her behalf.
Entity Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262 |
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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. Marlo Monique 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 |
Marlo Monique Smith, MD 1320 Ribaut Rd, Port Royal, SC 29935-1118 Ph: (843) 986-0900 | Marlo Monique Smith, MD 1320 Ribaut Rd, Port Royal, SC 29935-1118 Ph: (843) 986-0900 |
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