Mr Prentiss Lee Smith Sr, MD in Brookhaven, MS - Radiology

Mr Prentiss Lee Smith Sr, MD is a Radiology - Diagnostic Radiology physician based in Brookhaven, Mississippi. Mr Prentiss Lee Smith Sr is licensed to practice in Mississippi (license number 06251) and his current practice location is 108 Lance Alworth Dr, Brookhaven, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 833-8511.

NPI number for Mr Prentiss Lee Smith Sr is 1164412722 and his current mailing address is Po Box 764, Brookhaven, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164412722.

Contact Information

	Mr Prentiss Lee Smith Sr, MD
	108 Lance Alworth Dr, Brookhaven, MS 39601-2300
	(601) 833-8511
	(601) 835-5413

Physician's Profile

Full Name	Mr Prentiss Lee Smith Sr
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	108 Lance Alworth Dr, Brookhaven, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1164412722
Provider Enumeration Date: 10/25/2005
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Prentiss Lee Smith Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164412722	NPI	-	NPPES
0016651	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	06251 (Mississippi)	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. Mr Prentiss Lee Smith Sr 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 Address	Practice Location Address
Mr Prentiss Lee Smith Sr, MD Po Box 764, Brookhaven, MS 39602-0764 Ph: (601) 833-8511	Mr Prentiss Lee Smith Sr, MD 108 Lance Alworth Dr, Brookhaven, MS 39601-2300 Ph: (601) 833-8511

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Radiology Doctors in Brookhaven, MS

Mrs. Jani L Purvis, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 108 Lance Alworth Dr, Brookhaven, MS 39601
Phone: 601-833-8511 Fax: 601-835-5413

Mr Prentiss Lee Smith Sr, MD - Radiology in Brookhaven, MS