Dr Edward Lawrence Smith, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Sheboygan, Wisconsin. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Froedtert Manitowoc Medical Group, Llc and his current practice location is
1411 N Taylor Dr, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(616) 735-3257.
Dr Edward Lawrence Smith is licensed to practice in Wisconsin (license number 55826-21) 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 1962617845.
Physician's Profile
| Full Name | Dr Edward Lawrence Smith |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 18 Years |
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| Location | 1411 N Taylor Dr, Sheboygan, Wisconsin |
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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:
- Dr Edward Lawrence Smith graduated from medical school in 2006
NPI Data:
- NPI Number: 1962617845
- Provider Enumeration Date: 05/13/2007
- Last Update Date: 09/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 8921277336
- Enrollment ID: I20110801000592
Medical Identifiers
Medical identifiers for Dr Edward Lawrence Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962617845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 5101016859 (Michigan) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 55826-21 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Froedtert Manitowoc Medical Group, Llc | 2365836954 | 118 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Edward Lawrence Smith allows following entities to bill medicare on his behalf.
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437829975
PECOS PAC ID: 2365836954
Enrollment ID: O20220224001282 |
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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. Dr Edward Lawrence 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 |
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Dr Edward Lawrence Smith, DO
Po Box 19070,
Green Bay, WI 54307-9070
Ph: (920) 457-2100 | Dr Edward Lawrence Smith, DO
1411 N Taylor Dr,
Sheboygan, WI 53081-3043
Ph: (616) 735-3257 |
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