Dr Malcolm Derek Smith, DPM - Medicare Podiatrist in Ponca City, OK

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Dr Malcolm Derek Smith, DPM is a medicare enrolled "Podiatrist" provider in Ponca City, Oklahoma. He went to New York College Of Podiatric Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Podiatry. His current practice location is 1700 N 5th St, Ponca City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 765-3389.

Dr Malcolm Derek Smith is licensed to practice in Oklahoma (license number 198) 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 1093732562.

Contact Information

Dr Malcolm Derek Smith, DPM
1700 N 5th St,
Ponca City, OK 74601-2762
(580) 765-3389
(580) 762-3994



Healthcare Provider's Profile

Full NameDr Malcolm Derek Smith
GenderMale
SpecialityPodiatry
Experience28 Years
Location1700 N 5th St, Ponca City, Oklahoma
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:
  • Dr Malcolm Derek Smith attended and graduated from New York College Of Podiatric Medicine in 1996
  NPI Data:
  • NPI Number: 1093732562
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 04/22/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8123096195
  • Enrollment ID: I20120228000786

Medical Identifiers

Medical identifiers for Dr Malcolm Derek Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093732562NPI-NPPES
100779800AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 198 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ponca City Medical CenterPonca city, OKHospital
Stillwater Medical CenterStillwater, OKHospital

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. Dr Malcolm Derek Smith allows following entities to bill medicare on his behalf.
Provider NameMalcolm Derek Smith, Dpm Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285803049
PECOS PAC ID: 5597884189
Enrollment ID: O20120216000239

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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. Dr Malcolm Derek 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
Dr Malcolm Derek Smith, DPM
1700 N 5th St,
Ponca City, OK 74601-2762

Ph: (580) 765-3389		Dr Malcolm Derek Smith, DPM
1700 N 5th St,
Ponca City, OK 74601-2762

Ph: (580) 765-3389

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Podiatrist in Ponca City, OK

Malcolm Derek Smith, Dpm Pc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1700 N 5th St, Ponca City, OK 74601
Phone: 580-765-3389    Fax: 580-762-3994

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