Dr Wiley Joseph Smith, MD | |
50 Sewall St, Portland, ME 04102-2645 | |
(207) 775-3526 | |
(207) 775-5658 |
Full Name | Dr Wiley Joseph Smith |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 22 Years |
Location | 50 Sewall St, Portland, Maine |
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 |
---|---|---|---|
1184681769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD19514 (Maine) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology Associates, Llc | 4587698279 | 19 |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Dermatology Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780635342 PECOS PAC ID: 4587698279 Enrollment ID: O20050922000163 |
Mailing Address | Practice Location Address |
---|---|
Dr Wiley Joseph Smith, MD 50 Sewall St, Portland, ME 04102-2645 Ph: (207) 775-3526 | Dr Wiley Joseph Smith, MD 50 Sewall St, Portland, ME 04102-2645 Ph: (207) 775-3526 |
Rachel Rubino Dunlap, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1601 Congress St, Portland, ME 04102 Phone: 207-661-0100 | |
Anthony Guzman, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Sewall St, Portland, ME 04102 Phone: 207-775-3526 Fax: 207-775-5658 | |
Carmen J Rinaldi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Sewall St, Portland, ME 04102 Phone: 207-775-3526 | |
Jennifer Woodbury Bragg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Sewall Street, Portland, ME 04102 Phone: 207-775-3526 | |
Lauren Ko, MD Dermatology Medicare: Medicare Enrolled Practice Location: 50 Sewall St, Portland, ME 04102 Phone: 207-775-3526 Fax: 207-775-5658 | |
Christopher Jay Steen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Sewall St, Dermatology Associates, Portland, ME 04102 Phone: 207-775-3526 |