Dr Gina Laraine Smith, MD | |
261 M 62, Cassopolis, MI 49031-1034 | |
(269) 445-3874 | |
Not Available |
Full Name | Dr Gina Laraine Smith |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 26 Years |
Location | 261 M 62, Cassopolis, Michigan |
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 |
---|---|---|---|
1043326192 | NPI | - | NPPES |
1043326192 | Medicaid | MI | |
174811 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 74097 (Arizona) | Primary |
207Q00000X | Family Medicine | 036105255 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeland Homecare | Benton harbor, MI | Home health agency |
Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeland Immediate Care Center | 2264423771 | 16 |
Entity Name | Lakeland Immediate Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982677548 PECOS PAC ID: 2264423771 Enrollment ID: O20040524000042 |
Mailing Address | Practice Location Address |
---|---|
Dr Gina Laraine Smith, MD 7500 N Dreamy Draw Dr Ste 145, Phoenix, AZ 85020-4668 Ph: (480) 882-4545 | Dr Gina Laraine Smith, MD 261 M 62, Cassopolis, MI 49031-1034 Ph: (269) 445-3874 |
Dr. Mark W Lay, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 S Broadway St, Cassopolis, MI 49031 Phone: 269-445-0771 | |
Dr. Neil R See, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 269-445-3874 Fax: 269-445-2076 | |
Mr. Harris Ayub Shaikh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 269-445-3874 Fax: 269-445-2076 | |
Sabrina Cole, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 694-453-8742 | |
Elizabeth A Wetzel, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 261 M 62, Cassopolis, MI 49031 Phone: 269-445-3874 Fax: 269-445-1930 |