Dr Jeffery William Smith, DDS in Sonora, CA - Medicare Dentist Provider

Dr Jeffery William Smith, DDS is a medicare enrolled "Dentist" provider in Sonora, California. His current practice location is 630 Woods Creek Dr, Sonora, California. You can reach out to his office (for appointments etc.) via phone at (209) 532-4376.

Dr Jeffery William Smith is licensed to practice in California (license number 25219) 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 1215957105.

Contact Information

	Dr Jeffery William Smith, DDS
	630 Woods Creek Dr, Sonora, CA 95370-4817
	(209) 532-4376
	(209) 533-4391

Healthcare Provider's Profile

Full Name	Dr Jeffery William Smith
Gender	Male
Speciality	Dentist
Location	630 Woods Creek Dr, Sonora, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215957105
Provider Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8123326675
Enrollment ID: I20160415001670

Medical Identifiers

Medical identifiers for Dr Jeffery William Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215957105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	25219 (California)	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. Dr Jeffery William 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
Dr Jeffery William Smith, DDS 630 Woods Creek Dr, Sonora, CA 95370-4817 Ph: (209) 532-4376	Dr Jeffery William Smith, DDS 630 Woods Creek Dr, Sonora, CA 95370-4817 Ph: (209) 532-4376

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Dentist in Sonora, CA

Wayne Alan Mathe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Sonora, CA 95370 Phone: 209-533-7213
Dr. Scott Carl Henning, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14570 Mono Way, Suite I, Sonora, CA 95370 Phone: 209-536-1954 Fax: 209-536-6554
Paul J Berger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13919 Mono Way, Sonora, CA 95370 Phone: 209-533-9630 Fax: 209-536-6044
Patricia Rivas, DDS Dentist Medicare: Medicare Enrolled Practice Location: 13975 Mono Way Ste I, Sonora, CA 95370 Phone: 209-533-9603 Fax: 209-533-9604
Dr. Robyn Alison Ritchie, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 193 Fairview Ln Ste J, Sonora, CA 95370 Phone: 209-754-3816
Dr. David E. Woodhams, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13945 Mono Way, Suite A, Sonora, CA 95370 Phone: 209-532-0808 Fax: 209-532-1331
Dr. Justin Liggett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 765 Morning Star Dr, Sonora, CA 95370 Phone: 209-532-7418 Fax: 209-533-3515

Dr Jeffery William Smith, DDS - Medicare Dentist in Sonora, CA