Mary Spencer-smith, MD in Los Angeles, CA

Mary Spencer-smith, MD is a medicare enrolled "Radiology - Diagnostic Ultrasound" physician in Los Angeles, California. Her current practice location is 1720 E Cesar E Chavez Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (626) 795-1610.

Mary Spencer-smith is licensed to practice in California (license number G51245) 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 1790714020.

Contact Information

	Mary Spencer-smith, MD
	1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414
	(626) 795-1610
	(626) 795-0751

Map and Direction

Physician's Profile

Full Name	Mary Spencer-smith
Gender	Female
Speciality	Radiology - Diagnostic Ultrasound
Location	1720 E Cesar E Chavez Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790714020
Provider Enumeration Date: 06/30/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4587661962
Enrollment ID: I20061026000677

Medical Identifiers

Medical identifiers for Mary Spencer-smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790714020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	G51245 (California)	Primary
2085N0700X	Radiology - Neuroradiology	G51245 (California)	Primary
2085N0904X	Radiology - Nuclear Radiology	G51245 (California)	Primary
2085P0229X	Radiology - Pediatric Radiology	G51245 (California)	Primary
2085R0202X	Radiology - Diagnostic Radiology	G51245 (California)	Primary
2085U0001X	Radiology - Diagnostic Ultrasound	G51245 (California)	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. Mary Spencer-smith allows following entities to bill medicare on her behalf.

Entity Name	Radiology Medical Group Of Wmmc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831123868 PECOS PAC ID: 0244247864 Enrollment ID: O20060307000489

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. Mary Spencer-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
Mary Spencer-smith, MD 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 Ph: (626) 795-1610	Mary Spencer-smith, MD 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 Ph: (626) 795-1610

Reviews and Comments

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Mary Spencer-smith, MD - Medicare Radiology in Los Angeles, CA