Bruce Sylvester Smith, MD is a
Obstetrics & Gynecology physician based in Streator, Illinois. Bruce Sylvester Smith is licensed to practice in Illinois (license number 36093924) and his current practice location is 104 W 6th St, Ste 206, Streator, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 672-1610.
NPI number for Bruce Sylvester Smith is 1063437150 and his current mailing address is 104 W 6th St, Ste 206, Streator, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063437150.
Physician's Profile
| Full Name | Bruce Sylvester Smith |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 104 W 6th St, Streator, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063437150
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 09/30/2009
Medical Identifiers
Medical identifiers for Bruce Sylvester Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063437150 | NPI | - | NPPES |
| 36093924 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 36093924 (Illinois) | 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. Bruce Sylvester 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 Address | Practice Location Address |
|---|
Bruce Sylvester Smith, MD
104 W 6th St, Ste 206,
Streator, IL 61364-2899
Ph: (815) 672-1610 | Bruce Sylvester Smith, MD
104 W 6th St, Ste 206,
Streator, IL 61364-2899
Ph: (815) 672-1610 |
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