Randel L Smith, MD - Medicare Interventional Cardiology in Hattiesburg, MS

Randel L Smith, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Hattiesburg, Mississippi. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1991 and has 33 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice River Oaks Management Company Llc and his current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 268-5800.

Randel L Smith is licensed to practice in Mississippi (license number 15148) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639288293.

Contact Information

Randel L Smith, MD
415 S 28th Ave,
Hattiesburg, MS 39401-7246
(601) 268-5800
(601) 261-3530



Physician's Profile

Full NameRandel L Smith
GenderMale
SpecialityInterventional Cardiology
Experience33 Years
Location415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Randel L Smith attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1991
  NPI Data:
  • NPI Number: 1639288293
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 07/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092784645
  • Enrollment ID: I20040929001233

Medical Identifiers

Medical identifiers for Randel L Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639288293NPI-NPPES
1928658MedicaidLA
00118202MedicaidMS
1559066OtherMSAMERICAN ADMIN GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 15148 (Mississippi)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 15148 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Merit Health River OaksFlowood, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
River Oaks Management Company Llc034523311037

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Randel L Smith allows following entities to bill medicare on his behalf.
Entity NameRiver Oaks Management Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922029040
PECOS PAC ID: 0345233110
Enrollment ID: O20040407000093

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Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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Entity NameForrest County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295837631
PECOS PAC ID: 1052397767
Enrollment ID: O20040624001351

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Entity NameFgh Physician Billing
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053469700
PECOS PAC ID: 1850344946
Enrollment ID: O20050301000617

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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. Randel L 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 AddressPractice Location Address
Randel L Smith, MD
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 268-5800
Randel L Smith, MD
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 268-5800

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Internal Medicine Doctors in Hattiesburg, MS

Laurie Evans Douglas, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-1700    Fax: 601-288-8290
Dr. Charles Ramsey Mccollum Iii, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-268-5650    Fax: 601-579-5212
Porter Hudson Glover, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-268-5680    Fax: 601-268-5778
Alex Gauthier,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5001 Hardy St, Hattiesburg, MS 39402
Phone: 601-268-8000    
Grettel Rodriguez Garcia,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31 Woodstone Dr, Hattiesburg, MS 39402
Phone: 347-342-2441    
Ms. Manal Mohammad Abdur Rahman, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7 Medical Blvd, Hattiesburg, MS 39401
Phone: 601-296-2990    Fax: 601-296-2860
Dr. Vashishtha Patel, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 5001 Hardy St, Hattiesburg, MS 39402
Phone: 704-733-7499    

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