Erich Waverly Smith, PA-C is a medicare enrolled "Physician Assistant - Medical" in La Grange, North Carolina. His current practice location is
2154 Sutton Hooten Ln, La Grange, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 566-3298.
Erich Waverly Smith is licensed to practice in North Carolina (license number 102048) 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 1689996613.
Provider's Profile
Full Name | Erich Waverly Smith |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2154 Sutton Hooten Ln, La Grange, North Carolina |
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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. |
Medical Education and Training:
- Erich Waverly Smith attended and graduated from in
NPI Data:
- NPI Number: 1689996613
- Provider Enumeration Date: 02/17/2010
- Last Update Date: 02/17/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Erich Waverly Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689996613 | NPI | - | NPPES |
102048 | Other | NC | MEDICAL BOARD LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 102048 (North Carolina) | Primary |
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. Erich Waverly 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 |
Erich Waverly Smith, PA-C 2154 Sutton Hooten Ln, La Grange, NC 28551-8252 Ph: (252) 566-3298 | Erich Waverly Smith, PA-C 2154 Sutton Hooten Ln, La Grange, NC 28551-8252 Ph: (252) 566-3298 |
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