Mr Christopher Jacob Smith, DO is a medicare enrolled "Dermatology" physician in Lauderdale Lakes, Florida. He went to Nova Southeastern College Of Osteo Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. His current practice location is
4000 N State Road 7 Ste 105, Lauderdale Lakes, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 541-2739.
Mr Christopher Jacob Smith is licensed to practice in Florida (license number OS10662) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366681892.
Physician's Profile
| Full Name | Mr Christopher Jacob Smith |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 17 Years |
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| Location | 4000 N State Road 7 Ste 105, Lauderdale Lakes, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Christopher Jacob Smith attended and graduated from Nova Southeastern College Of Osteo Medicine in 2007
NPI Data:
- NPI Number: 1366681892
- Provider Enumeration Date: 02/06/2009
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 8527105006
- Enrollment ID: I20091103000160
Medical Identifiers
Medical identifiers for Mr Christopher Jacob Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366681892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 251824 (New York) | Secondary |
| 207Q00000X | Family Medicine | 251824 (New York) | Secondary |
| 207Q00000X | Family Medicine | OS10662 (Florida) | Secondary |
| 207N00000X | Dermatology | OS10662 (Florida) | 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. Mr Christopher Jacob Smith allows following entities to bill medicare on his behalf.
| Entity Name | Christos Doctors Inn Walk In Health Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215262233
PECOS PAC ID: 8527105014
Enrollment ID: O20091103000171 |
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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. Mr Christopher Jacob 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 |
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Mr Christopher Jacob Smith, DO
4000 N State Road 7 Ste 105,
Lauderdale Lakes, FL 33319-4816
Ph: (954) 541-2739 | Mr Christopher Jacob Smith, DO
4000 N State Road 7 Ste 105,
Lauderdale Lakes, FL 33319-4816
Ph: (954) 541-2739 |
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