Dr Jordan D Smith, OD is a medicare enrolled "Optometrist" provider in Jamestown, Tennessee. He went to Southern College Of Optometry and graduated in 2008 and has 16 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eye Centers Of Tennessee, Llc and his current practice location is
1205 Old Highway 127 S, Jamestown, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 879-5897.
Dr Jordan D Smith is licensed to practice in Tennessee (license number OD2804) 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 1225292139.
Healthcare Provider's Profile
| Full Name | Dr Jordan D Smith |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 16 Years |
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| Location | 1205 Old Highway 127 S, Jamestown, Tennessee |
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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. |
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Medical Education and Training:
- Dr Jordan D Smith attended and graduated from Southern College Of Optometry in 2008
NPI Data:
- NPI Number: 1225292139
- Provider Enumeration Date: 07/10/2008
- Last Update Date: 10/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 0941377998
- Enrollment ID: I20080917000603
Medical Identifiers
Medical identifiers for Dr Jordan D Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225292139 | NPI | - | NPPES |
| 4193036 | Other | TN | BCBS |
| 1508385 | Medicaid | TN | |
| 3724243 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OD2804 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eye Centers Of Tennessee, Llc | 1355379256 | 13 |
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. Dr Jordan D Smith allows following entities to bill medicare on his behalf.
| Provider Name | Eye Centers Of Tennessee, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1932224128
PECOS PAC ID: 1355379256
Enrollment ID: O20080826000107 |
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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. Dr Jordan D 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 |
|---|
Dr Jordan D Smith, OD
Po Box 846,
Jamestown, TN 38556-0846
Ph: (931) 879-5897 | Dr Jordan D Smith, OD
1205 Old Highway 127 S,
Jamestown, TN 38556-5609
Ph: (931) 879-5897 |
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