Mr Daniel C Smith, OD is a medicare enrolled "Optometrist" provider in E Tawas, Michigan. His current practice location is
1691 N Us 23, Suite 2, E Tawas, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 362-9546.
Mr Daniel C Smith is licensed to practice in Michigan (license number 4901003153) 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 1215029350.
Healthcare Provider's Profile
Full Name | Mr Daniel C Smith |
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Gender | Male |
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Speciality | Optometrist |
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Location | 1691 N Us 23, E Tawas, Michigan |
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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: 1215029350
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 07/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 5294833083
- Enrollment ID: I20070601000134
Medical Identifiers
Medical identifiers for Mr Daniel C Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215029350 | NPI | - | NPPES |
410046393 | Other | MI | RAILROAD MEDICARE |
OM89210001 | Other | MI | BCBSM MEDICARE ADVANTAGE |
900C510060 | Other | MI | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4901003153 (Michigan) | 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. Mr Daniel C Smith allows following entities to bill medicare on his behalf.
Provider Name | Tawas Bay Optical Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1104942135 PECOS PAC ID: 2668570458 Enrollment ID: O20070601000130 |
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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. Mr Daniel C 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 |
Mr Daniel C Smith, OD 1691 N Us 23, Suite 2, E Tawas, MI 48730 Ph: (989) 362-9546 | Mr Daniel C Smith, OD 1691 N Us 23, Suite 2, E Tawas, MI 48730 Ph: (989) 362-9546 |
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