Malcolm Derek Smith, Dpm Pc is a medicare enrolled "Podiatrist" provider in Ponca City, Oklahoma. Their current practice location is
1700 N 5th St, Ponca City, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 765-3389.
Malcolm Derek Smith, Dpm Pc is licensed to practice in Oklahoma (license number 198) and it also participates in the medicare program. Malcolm Derek Smith, Dpm Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1285803049.
Healthcare Provider's Profile
Full Name | Malcolm Derek Smith, Dpm Pc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 1700 N 5th St, Ponca City, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285803049
- Provider Enumeration Date: 02/26/2008
- Last Update Date: 02/26/2008
Medicare PECOS Information:
- PECOS PAC ID: 5597884189
- Enrollment ID: O20100930096349
Medical Identifiers
Medical identifiers for Malcolm Derek Smith, Dpm Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285803049 | NPI | - | NPPES |
100779800A | Medicaid | OK | |
294540038001 | Other | OK | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 198 (Oklahoma) | Primary |
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. Malcolm Derek Smith, Dpm Pc 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 |
Malcolm Derek Smith, Dpm Pc 1700 N 5th St, Ponca City, OK 74601-2762 Ph: (580) 765-3389 | Malcolm Derek Smith, Dpm Pc 1700 N 5th St, Ponca City, OK 74601-2762 Ph: (580) 765-3389 |
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