Dr Jerry Randolph Smith, MD - Family Medicine in Louisville, KY

Dr Jerry Randolph Smith, MD is a Family Medicine physician based in Louisville, Kentucky. Dr Jerry Randolph Smith is licensed to practice in Kentucky (license number 18109) and his current practice location is 3015 Wilson Ave, Park Duvalle Cnc, Louisville, Kentucky. He can be reached at his office (for appointments etc.) via phone at (502) 774-4401.

NPI number for Dr Jerry Randolph Smith is 1003989708 and his current mailing address is 3015 Wilson Ave, Louisville, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003989708.

Contact Information

Dr Jerry Randolph Smith, MD
3015 Wilson Ave, Park Duvalle Cnc,
Louisville, KY 40211
(502) 774-4401
(502) 772-4783



Physician's Profile

Full NameDr Jerry Randolph Smith
GenderMale
SpecialityFamily Medicine
Location3015 Wilson Ave, Louisville, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003989708
  • Provider Enumeration Date: 11/17/2006
  • Last Update Date: 07/25/2012

Medical Identifiers

Medical identifiers for Dr Jerry Randolph Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003989708NPI-NPPES
64181092MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 18109 (Kentucky)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 Jerry Randolph Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jerry Randolph Smith, MD
3015 Wilson Ave,
Louisville, KY 40211-1961

Ph: (502) 774-4401
Dr Jerry Randolph Smith, MD
3015 Wilson Ave, Park Duvalle Cnc,
Louisville, KY 40211

Ph: (502) 774-4401

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Family Medicine Doctors in Louisville, KY

Jaivanti Lohano, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2215 Portland Ave, Louisville, KY 40212
Phone: 502-774-8631    Fax: 502-778-3499
John L Markert, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1169 Eastern Pkwy Ste 2265, Louisville, KY 40217
Phone: 502-635-7455    Fax: 502-634-9296
Dr. Jill Marie Jacobs, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8019 Dixie Hwy Ste 101, Louisville, KY 40258
Phone: 502-254-3898    
Chassidy Weatherford, APRN
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4950 Norton Healthcare Blvd, Louisville, KY 40241
Phone: 502-394-6350    
Michael James Gaffney, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3532 Ephraim Mcdowell Drive, Louisville, KY 40205
Phone: 502-456-6200    Fax: 502-456-6655
Veronica Anne Kavorkian, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2701 Chamberlain Ln, Louisville, KY 40245
Phone: 502-243-9044    Fax: 502-243-8482

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