Richard C Smith, MD | |
2729 S Highway 65 82, Lake Village, AR 71653-6136 | |
(870) 632-9091 | |
(662) 537-4888 |
Full Name | Richard C Smith |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 33 Years |
Location | 2729 S Highway 65 82, Lake Village, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831206515 | NPI | - | NPPES |
P00316066 | Other | RR MEDICARE | |
1538043 | Medicaid | LA | |
140263001 | Medicaid | AR | |
00334503 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 15057 (Mississippi) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | E-6378 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Putnam Community Medical Center | Palatka, FL | Hospital |
Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
Brandon Regional Hospital | Brandon, FL | Hospital |
Oak Hill Hospital | Brooksville, FL | Hospital |
Citrus Memorial Hospital | Inverness, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheridan Radiology Services Of Central Florida Inc | 4688762149 | 105 |
Mori Bean And Brooks Inc | 8820077878 | 647 |
Sheridan Radiology Services Of Central Florida Inc | 4688762149 | 105 |
Entity Name | F&s Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518299957 PECOS PAC ID: 3678697836 Enrollment ID: O20160906001875 |
Entity Name | Radiology Physician Solutions Of North Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447761101 PECOS PAC ID: 2466710306 Enrollment ID: O20181105001037 |
Entity Name | Mori Bean And Brooks Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20190729002602 |
Entity Name | Sheridan Radiology Services Of Central Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275997934 PECOS PAC ID: 4688762149 Enrollment ID: O20201008000767 |
Mailing Address | Practice Location Address |
---|---|
Richard C Smith, MD 755 S Washington Ave, Greenville, MS 38701-5832 Ph: (870) 632-9091 | Richard C Smith, MD 2729 S Highway 65 82, Lake Village, AR 71653-6136 Ph: (870) 632-9091 |