Edward Patrick Smith Jr, DPM PODIATRY is a medicare enrolled "Podiatrist" provider in Springfield, Vermont. His current practice location is
148 Park Street, Springfield, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 885-2318.
Edward Patrick Smith Jr is licensed to practice in Vermont (license number VT0560000101) 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 1760556765.
Healthcare Provider's Profile
| Full Name | Edward Patrick Smith Jr |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 148 Park Street, Springfield, Vermont |
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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: 1760556765
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2668462334
- Enrollment ID: I20040514000508
Medical Identifiers
Medical identifiers for Edward Patrick Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760556765 | NPI | - | NPPES |
| 0008316 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | VT0560000101 (Vermont) | Primary |
| 213E00000X | Podiatrist | NH0277 (New Hampshire) | Secondary |
| 213E00000X | Podiatrist | MA1543 (Massachusetts) | Secondary |
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. Edward Patrick Smith Jr allows following entities to bill medicare on his behalf.
| Provider Name | Springfield Medical Care Systems Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1730336843
PECOS PAC ID: 9133157043
Enrollment ID: O20090622000521 |
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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. Edward Patrick Smith Jr 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 |
|---|
Edward Patrick Smith Jr, DPM PODIATRY
148 Park Street,
Springfield, VT 05156
Ph: (802) 885-2318 | Edward Patrick Smith Jr, DPM PODIATRY
148 Park Street,
Springfield, VT 05156
Ph: (802) 885-2318 |
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