Michael David Smith, MD in Davenport, FL

Michael David Smith, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Davenport, Florida. His current practice location is 40107 Highway 27, Davenport, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 419-0692.

Michael David Smith is licensed to practice in Florida (license number 103176) 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 1902835374.

Contact Information

	Michael David Smith, MD
	40107 Highway 27, Davenport, FL 33837-5901
	(863) 419-0692
	(863) 419-1695

Map and Direction

Physician's Profile

Full Name	Michael David Smith
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	40107 Highway 27, Davenport, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902835374
Provider Enumeration Date: 06/30/2006
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3971535477
Enrollment ID: I20070709000485

Medical Identifiers

Medical identifiers for Michael David Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902835374	NPI	-	NPPES
5104065	Other	FL	AETNA
P116158	Other	FL	FREEDOM HEALTH
1459L	Other	FL	BCBS FL
200259350	Medicaid	IN
P306917	Other	FL	OPTIMUM
10L838	Other	FL	HEALTHY KIDS THRU COMMUNITY HEALTH PARTNERS
6067119	Other	FL	CIGNA
P01174095	Other	FL	RAILROAD MCR
P513688	Medicaid	FL
003674000	Medicaid	FL
364004	Other	FL	AVMED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	TL3100 (Wyoming)	Secondary
2085R0001X	Radiology - Radiation Oncology	01036913A (Indiana)	Secondary
2085R0001X	Radiology - Radiation Oncology	H5682 (Texas)	Secondary
2085R0001X	Radiology - Radiation Oncology	MD60295642 (Washington)	Secondary
2085R0001X	Radiology - Radiation Oncology	021562 (Tennessee)	Secondary
2085R0001X	Radiology - Radiation Oncology	103176 (Florida)	Primary
2085R0001X	Radiology - Radiation Oncology	MD-9852 (Hawaii)	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. Michael David Smith allows following entities to bill medicare on his behalf.

Entity Name	St Marys Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275

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. Michael David 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
Michael David Smith, MD 1420 Celebration Blvd Ste 308, Celebration, FL 34747-5161 Ph: (407) 599-9899	Michael David Smith, MD 40107 Highway 27, Davenport, FL 33837-5901 Ph: (863) 419-0692

Reviews and Comments

Radiology Doctors in Davenport, FL

Oliver F Hamilton Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2235 North Boulevard West, Davenport, FL 33837 Phone: 863-421-8674
Dr. Mary S Gardner, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 171 Webb Dr, Davenport, FL 33837 Phone: 863-421-7276 Fax: 863-421-7109
Mr. Anthony T Rosa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2235 North Blvd West, Davenport, FL 33837 Phone: 863-421-8674 Fax: 863-421-9622
Dr. Randy V Heysek, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 40107 Hwy 27, Davenport, FL 33837 Phone: 863-419-0692 Fax: 863-419-1695
Kenneth M. Neigut, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 40107 Hwy 27, Davenport, FL 33837 Phone: 863-419-0692 Fax: 863-419-1695
Mr. Ivan G Murray, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2235 North Blvd West, Davenport, FL 33837 Phone: 863-421-8674 Fax: 863-421-9622

Michael David Smith, MD - Medicare Radiology in Davenport, FL