Douglas C Smith, MD | |
2900 Providence Dr, Anchorage, AK 99508-5756 | |
(907) 345-0728 | |
(907) 345-0728 |
Full Name | Douglas C Smith |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 2900 Providence Dr, Anchorage, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285602508 | NPI | - | NPPES |
920128597 | Other | FEDERAL TAX ID | |
A0328 | Other | BLUE CROSS SUB | |
MD0658 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 2227 (Alaska) | Primary |
Entity Name | Douglas Carter Smith |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023169109 PECOS PAC ID: 1759718760 Enrollment ID: O20200303001043 |
Mailing Address | Practice Location Address |
---|---|
Douglas C Smith, MD Po Box 241769, Anchorage, AK 99524-1769 Ph: (907) 770-2380 | Douglas C Smith, MD 2900 Providence Dr, Anchorage, AK 99508-5756 Ph: (907) 345-0728 |
Stacey R Nieder, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 3801 University Lake Dr Ste 301, Anchorage, AK 99508 Phone: 907-929-5888 Fax: 907-929-5882 | |
Mr. Thomas Gilman Lang, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 741 Sesame St, 1-b, Anchorage, AK 95503 Phone: 907-561-5801 Fax: 907-563-1372 | |
Jean Colesberry Persons, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1546 Coffey Lane, Anchorage, AK 99501 Phone: 907-277-4187 | |
Dr. Jean Milner Eaton, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 8700 E Klatt Rd, Anchorage, AK 99507 Phone: 907-345-3606 | |
Dr. Arthur Dewey Tilgner, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 5011 Spenard Rd, Anchorage, AK 99517 Phone: 907-245-4359 | |
Dr. Ronald E Christensen, MD General Practice Medicare: Medicare Enrolled Practice Location: 9500 Independence Dr, Ste 900, Anchorage, AK 99507 Phone: 907-522-1341 Fax: 907-522-1343 |