Dr Woody Lyle Smithey Jr, DDS in Ruston, LA - Medicare Dentist Provider

Dr Woody Lyle Smithey Jr, DDS is a medicare enrolled "Dentist - General Practice" provider in Ruston, Louisiana. His current practice location is 900 S Vienna St, Ruston, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 251-0334.

Dr Woody Lyle Smithey Jr is licensed to practice in Louisiana (license number LA 4115) 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 1114013182.

Contact Information

	Dr Woody Lyle Smithey Jr, DDS
	900 S Vienna St, Ruston, LA 71270-5830
	(318) 251-0334
	(318) 255-3538

Healthcare Provider's Profile

Full Name	Dr Woody Lyle Smithey Jr
Gender	Male
Speciality	Dentist - General Practice
Location	900 S Vienna St, Ruston, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114013182
Provider Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688976699
Enrollment ID: I20160107002841

Medical Identifiers

Medical identifiers for Dr Woody Lyle Smithey Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114013182	NPI	-	NPPES
1841153	Medicaid	LA
842233	Other	LA	UNITED CONCORDIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	LA 4115 (Louisiana)	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 Woody Lyle Smithey 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
Dr Woody Lyle Smithey Jr, DDS 900 S Vienna St, Ruston, LA 71270-5830 Ph: (318) 251-0334	Dr Woody Lyle Smithey Jr, DDS 900 S Vienna St, Ruston, LA 71270-5830 Ph: (318) 251-0334

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Dentist in Ruston, LA

Dr. Adam Carter Coughran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 900 S Vienna St, Ruston, LA 71270 Phone: 318-251-0334
Wesley O. Lynch Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 E Reynolds Dr, Ruston, LA 71270 Phone: 318-251-0163 Fax: 318-251-0143
Dr. Jesse Henton Roberts Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 702 N Trenton St, Ruston, LA 71270 Phone: 318-255-9440 Fax: 318-251-1270
Dr. Joe William Gilmore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 206 East Vaughn Ave, Ruston, LA 71270 Phone: 318-255-7760 Fax: 318-255-7696
Dr. Jerry Lamar Johnston, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 306 E Reynolds Dr, Ruston, LA 71270 Phone: 318-255-6780 Fax: 318-255-6778
Susann Mcmahen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 306 E Reynolds Dr, Suite 1, Ruston, LA 71270 Phone: 318-255-6780

Dr Woody Lyle Smithey Jr, DDS - Medicare Dentist in Ruston, LA