Jacob Roger Smith, DDS in Amite, LA - Medicare Dentist Provider

Jacob Roger Smith, DDS is a medicare enrolled "Dentist" provider in Amite, Louisiana. His current practice location is 416 N 2nd St, Amite, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 748-4652.

Jacob Roger Smith is licensed to practice in Louisiana (license number 7219) 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 1760056634.

Contact Information

	Jacob Roger Smith, DDS
	416 N 2nd St, Amite, LA 70422-2420
	(985) 748-4652
	(985) 748-7957

Healthcare Provider's Profile

Full Name	Jacob Roger Smith
Gender	Male
Speciality	Dentist
Location	416 N 2nd St, Amite, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760056634
Provider Enumeration Date: 05/16/2021
Last Update Date: 10/13/2022

Medicare PECOS Information:

PECOS PAC ID: 9133523459
Enrollment ID: I20210810000065

Medical Identifiers

Medical identifiers for Jacob Roger Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760056634	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7219 (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. Jacob Roger 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
Jacob Roger Smith, DDS 416 N 2nd St, Amite, LA 70422-2420 Ph: (985) 748-4652	Jacob Roger Smith, DDS 416 N 2nd St, Amite, LA 70422-2420 Ph: (985) 748-4652

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Dentist in Amite, LA

Dr. Kay C Moser, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 416 N. Second St., Amite, LA 70422 Phone: 985-748-4652 Fax: 985-748-7957
Mr. Paul Matthew Anzalone, DDS Dentist Medicare: Medicare Enrolled Practice Location: 211 East Oak St, Amite, LA 70422 Phone: 985-748-8434 Fax: 985-748-9934
Ms. Patricia Ann Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Southwest Central Ave, Amite, LA 70422 Phone: 985-748-9588 Fax: 985-748-9588
Celine Victoria Snow, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 103 Se Central Ave, Amite, LA 70422 Phone: 985-286-4045
Dr. Christina Buonagura Givens, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Ne Central Ave, Amite, LA 70422 Phone: 985-747-8600 Fax: 985-747-8607
Dr. John Truett Sledge, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 416 N 2nd St, Amite, LA 70422 Phone: 985-748-4652 Fax: 985-748-7957

Jacob Roger Smith, DDS - Medicare Dentist in Amite, LA