Dwayne Smith, OTR/L is a medicare enrolled "Occupational Therapist - Gerontology" provider in Ocean Isle Beach, North Carolina. His current practice location is
6381 Live Oak Ave Sw, Ocean Isle Beach, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 754-8858.
Dwayne Smith is licensed to practice in North Carolina (license number 5227) 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 1417499054.
Healthcare Provider's Profile
| Full Name | Dwayne Smith |
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| Gender | Male |
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| Speciality | Occupational Therapist - Gerontology |
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| Location | 6381 Live Oak Ave Sw, Ocean Isle Beach, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417499054
- Provider Enumeration Date: 11/14/2016
- Last Update Date: 11/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 2466983382
- Enrollment ID: I20241002004262
Medical Identifiers
Medical identifiers for Dwayne Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417499054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XG0600X | Occupational Therapist - Gerontology | 5227 (North Carolina) | 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. Dwayne Smith allows following entities to bill medicare on his behalf.
| Provider Name | Fox Rehab Ot Nc Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1053199117
PECOS PAC ID: 2961853379
Enrollment ID: O20240110002959 |
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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. Dwayne 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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Dwayne Smith, OTR/L
6381 Live Oak Ave Sw,
Ocean Isle Beach, NC 28469-4741
Ph: () - | Dwayne Smith, OTR/L
6381 Live Oak Ave Sw,
Ocean Isle Beach, NC 28469-4741
Ph: (910) 754-8858 |
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