Mr Larry Dean Smith, DO | |
617 Benton St, Omak, WA 98841 | |
(509) 422-7416 | |
(509) 634-2945 |
Full Name | Mr Larry Dean Smith |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 617 Benton St, Omak, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639131386 | NPI | - | NPPES |
1078310 | Medicaid | WA | |
G8886888 | Other | WA | MEDICARE PTAN |
0264988 | Other | L&I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OP00001346 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Coulee Medical Center | Grand coulee, WA | Hospital |
Mid Valley Hospital | Omak, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dhhs Ihs Colville Service Unit | 0941302509 | 4 |
Omak Tribal Health Clinic | 1557458510 | 3 |
Entity Name | Dhhs Ihs Colville Service Unit |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811091911 PECOS PAC ID: 0941302509 Enrollment ID: O20070228000304 |
Entity Name | Omak Tribal Health Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639210370 PECOS PAC ID: 1557458510 Enrollment ID: O20071107000666 |
Mailing Address | Practice Location Address |
---|---|
Mr Larry Dean Smith, DO Po Box 71, Nespelem, WA 99155-0071 Ph: (509) 634-2995 | Mr Larry Dean Smith, DO 617 Benton St, Omak, WA 98841 Ph: (509) 422-7416 |
Dr. Bradley Robert Craig, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 810 Jasmine St, Omak, WA 98841 Phone: 509-826-1760 Fax: 509-826-7211 | |
Dr. Ronald Mccluskey, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 810 Jasmine St, Omak, WA 98841 Phone: 509-826-7664 |