Dr Dean A Smith, MD | |
13060 Isle Dr, Baxter, MN 56425-8331 | |
(218) 828-2880 | |
Not Available |
Full Name | Dr Dean A Smith |
---|---|
Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 13060 Isle Dr, Baxter, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629017249 | NPI | - | NPPES |
312449 | Other | WY | BLUE CROSS BLUE SHIELD |
1188372-00 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 6930A (Wyoming) | Secondary |
2080A0000X | Pediatrics - Adolescent Medicine | 51280 (Minnesota) | Primary |
Entity Name | St Josephs Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
Entity Name | Brainerd Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295801777 PECOS PAC ID: 0648270272 Enrollment ID: O20070105000140 |
Mailing Address | Practice Location Address |
---|---|
Dr Dean A Smith, MD 523 N 3rd St, Brainerd, MN 56401-3054 Ph: (218) 829-2861 | Dr Dean A Smith, MD 13060 Isle Dr, Baxter, MN 56425-8331 Ph: (218) 828-2880 |
Lee Alan Muskovitz, Pediatrics Medicare: Medicare Enrolled Practice Location: 13060 Isle Drive, Baxter, MN 56425 Phone: 218-828-2880 | |
Troy D Couture, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 | |
Dr. Claudio Isidoro Duarte, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 | |
Jane L Winter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 |