Dean Ty Smith, DO is a medicare enrolled "Family Medicine" physician in Downey, Idaho. His current practice location is
79 N Main St, Downey, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 897-5600.
Dean Ty Smith is licensed to practice in Idaho (license number O-136) 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 1144252099.
Physician's Profile
| Full Name | Dean Ty Smith |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 79 N Main St, Downey, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dean Ty Smith attended and graduated from in
NPI Data:
- NPI Number: 1144252099
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dean Ty Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144252099 | NPI | - | NPPES |
| 002812000 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | O-136 (Idaho) | 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. Dean Ty 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 Address | Practice Location Address |
|---|
Dean Ty Smith, DO
500 S 11th Ave Ste 400,
Pocatello, ID 83201-4880
Ph: (208) 232-7862 | Dean Ty Smith, DO
79 N Main St,
Downey, ID 83234-4703
Ph: (208) 897-5600 |
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