Malcolm Derek Smith, Dpm Pc in Ponca City, OK - Medicare Podiatrist Provider

Malcolm Derek Smith, Dpm Pc is a medicare enrolled "Podiatrist" provider in Ponca City, Oklahoma. Their current practice location is 1700 N 5th St, Ponca City, Oklahoma. You can reach out to their office (for appointments etc.) via phone at (580) 765-3389.

Malcolm Derek Smith, Dpm Pc is licensed to practice in Oklahoma (license number 198) and it also participates in the medicare program. Malcolm Derek Smith, Dpm Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1285803049.

Contact Information

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

Healthcare Provider's Profile

Full Name	Malcolm Derek Smith, Dpm Pc
Type	Facility
Speciality	Podiatrist
Location	1700 N 5th St, Ponca City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285803049
Provider Enumeration Date: 02/26/2008
Last Update Date: 02/26/2008

Medicare PECOS Information:

PECOS PAC ID: 5597884189
Enrollment ID: O20100930096349

Medical Identifiers

Medical identifiers for Malcolm Derek Smith, Dpm Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285803049	NPI	-	NPPES
100779800A	Medicaid	OK
294540038001	Other	OK	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	198 (Oklahoma)	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. Malcolm Derek Smith, Dpm Pc 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
Malcolm Derek Smith, Dpm Pc 1700 N 5th St, Ponca City, OK 74601-2762 Ph: (580) 765-3389	Malcolm Derek Smith, Dpm Pc 1700 N 5th St, Ponca City, OK 74601-2762 Ph: (580) 765-3389

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Podiatrist in Ponca City, OK

Dr. Malcolm Derek Smith, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1700 N 5th St, Ponca City, OK 74601
Phone: 580-765-3389 Fax: 580-762-3994

Malcolm Derek Smith, Dpm Pc - Medicare Podiatrist in Ponca City, OK