Thomas Ballenger Smith, MD is a medicare enrolled "Internal Medicine" physician in Holdrege, Nebraska. His current practice location is
516 W 14th Ave, Ste 100, Holdrege, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(308) 995-4431.
Thomas Ballenger Smith is licensed to practice in Nebraska (license number 15286) 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 1902842610.
Physician's Profile
Full Name | Thomas Ballenger Smith |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 516 W 14th Ave, Holdrege, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902842610
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 06/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 0648358838
- Enrollment ID: I20100116000396
Medical Identifiers
Medical identifiers for Thomas Ballenger Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902842610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 15286 (Nebraska) | 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. Thomas Ballenger Smith allows following entities to bill medicare on his behalf.
Entity Name | Holdrege Medical Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427089010 PECOS PAC ID: 2769372002 Enrollment ID: O20040318001427 |
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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. Thomas Ballenger 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 |
Thomas Ballenger Smith, MD 516 W 14th Ave, Ste 100, Holdrege, NE 68949-1216 Ph: (308) 995-4431 | Thomas Ballenger Smith, MD 516 W 14th Ave, Ste 100, Holdrege, NE 68949-1216 Ph: (308) 995-4431 |
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