Christian Smith, is a medicare enrolled "Physical Therapist" provider in Mangum, Oklahoma. Her current practice location is
1 Wickersham St, Mangum, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 782-3353.
Christian Smith is licensed to practice in Oklahoma (license number 5849) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548049729.
Healthcare Provider's Profile
| Full Name | Christian Smith |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 1 Wickersham St, Mangum, Oklahoma |
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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: 1548049729
- Provider Enumeration Date: 09/26/2023
- Last Update Date: 01/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 8820529191
- Enrollment ID: I20240927002028
Medical Identifiers
Medical identifiers for Christian Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548049729 | NPI | - | NPPES |
| 5849 | Other | OK | OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION |
| 200234750A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 5849 (Oklahoma) | 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. Christian Smith allows following entities to bill medicare on her behalf.
| Provider Name | Mangum City Hospital Authority |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1033635263
PECOS PAC ID: 6305119942
Enrollment ID: O20181020000126 |
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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. Christian 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 |
|---|
Christian Smith,
403 S Ohio St,
Hobart, OK 73651-3227
Ph: () - | Christian Smith,
1 Wickersham St,
Mangum, OK 73554-9117
Ph: (580) 782-3353 |
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