Randel L Smith, MD in Hattiesburg, MS - Medicare Interventional Cardiology

Randel L Smith, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Hattiesburg, Mississippi. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1991 and has 33 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Pocatello Health Services Llc and his current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 268-5800.

Randel L Smith is licensed to practice in Mississippi (license number 15148) 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 1639288293.

Contact Information

	Randel L Smith, MD
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 268-5800
	(601) 261-3530

Map and Direction

Physician's Profile

Full Name	Randel L Smith
Gender	Male
Speciality	Interventional Cardiology
Experience	33 Years
Location	415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Randel L Smith attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1991

NPI Data:

NPI Number: 1639288293
Provider Enumeration Date: 08/29/2006
Last Update Date: 07/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5092784645
Enrollment ID: I20240514002136

Medical Identifiers

Medical identifiers for Randel L Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639288293	NPI	-	NPPES
1928658	Medicaid	LA
00118202	Medicaid	MS
1559066	Other	MS	AMERICAN ADMIN GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	15148 (Mississippi)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	15148 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Portneuf Medical Center	Pocatello, ID	Hospital
Merit Health River Oaks	Flowood, MS	Hospital
Marion Communtiy Hospital	Ocala, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pocatello Health Services Llc	6608927637	153

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. Randel L Smith allows following entities to bill medicare on his behalf.

Entity Name	Pocatello Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646

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. Randel L 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
Randel L Smith, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5800	Randel L Smith, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5800

Reviews and Comments

Internal Medicine Doctors in Hattiesburg, MS

Laurie Evans Douglas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-1700 Fax: 601-288-8290
Dr. Charles Ramsey Mccollum Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5650 Fax: 601-579-5212
Porter Hudson Glover, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5680 Fax: 601-268-5778
Alex Gauthier, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000
Grettel Rodriguez Garcia, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 Woodstone Dr, Hattiesburg, MS 39402 Phone: 347-342-2441
Ms. Manal Mohammad Abdur Rahman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-296-2990 Fax: 601-296-2860
Dr. Vashishtha Patel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 704-733-7499

Randel L Smith, MD - Medicare Interventional Cardiology in Hattiesburg, MS