Dr Malcolm Derek Smith, DPM is a medicare enrolled "Podiatrist" provider in Ponca City, Oklahoma. He went to New York College Of Podiatric Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Podiatry. His current practice location is
1700 N 5th St, Ponca City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 765-3389.
Dr Malcolm Derek Smith is licensed to practice in Oklahoma (license number 198) 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 1093732562.
Healthcare Provider's Profile
| Full Name | Dr Malcolm Derek Smith |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 28 Years |
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| Location | 1700 N 5th St, Ponca City, Oklahoma |
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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 Malcolm Derek Smith attended and graduated from New York College Of Podiatric Medicine in 1996
NPI Data:
- NPI Number: 1093732562
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 04/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 8123096195
- Enrollment ID: I20120228000786
Medical Identifiers
Medical identifiers for Dr Malcolm Derek Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093732562 | NPI | - | NPPES |
| 100779800A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 198 (Oklahoma) | Primary |
Medical Facilities Affiliation
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 Malcolm Derek Smith allows following entities to bill medicare on his behalf.
| Provider Name | Malcolm Derek Smith, Dpm Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285803049
PECOS PAC ID: 5597884189
Enrollment ID: O20120216000239 |
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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 Malcolm Derek 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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Dr Malcolm Derek Smith, DPM
1700 N 5th St,
Ponca City, OK 74601-2762
Ph: (580) 765-3389 | Dr Malcolm Derek Smith, DPM
1700 N 5th St,
Ponca City, OK 74601-2762
Ph: (580) 765-3389 |
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