Carolyn Shannon Smith, MD | |
545 N 15th St, Milwaukee, WI 53233-2237 | |
(414) 288-7184 | |
Not Available |
Full Name | Carolyn Shannon Smith |
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Gender | Female |
Speciality | Family Practice |
Experience | 30 Years |
Location | 545 N 15th St, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902965965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 38125 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Milwaukee Orthopaedic Group Ltd | 2769466036 | 8 |
Entity Name | Milwaukee Orthopaedic Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013071349 PECOS PAC ID: 2769466036 Enrollment ID: O20040615000668 |
Mailing Address | Practice Location Address |
---|---|
Carolyn Shannon Smith, MD 240 W Indian Creek Ct, Milwaukee, WI 53217-2323 Ph: (414) 540-6593 | Carolyn Shannon Smith, MD 545 N 15th St, Milwaukee, WI 53233-2237 Ph: (414) 288-7184 |
Dr. Mary Grace Hernandez Lasquety, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2311 N Prospect Ave, Milwaukee, WI 53211 Phone: 414-319-3000 Fax: 414-319-3033 | |
Dr. Rodrigo Itable, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2745 W Layton Ave, Suite 201, Milwaukee, WI 53221 Phone: 414-281-0050 Fax: 414-281-0733 | |
Steven Bondow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
Dr. Sabina Diehr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
Luz Stella Moreno, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 W Mitchell St, Milwaukee, WI 53204 Phone: 414-383-8989 | |
Quentin Mattern, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2320 N Lake Dr, Room 3603, Milwaukee, WI 53211 Phone: 414-270-4932 | |
Jennifer Marie Markowski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209 Phone: 414-352-3100 |