Dustin Jared Smith, MD | |
2292 Peachtree Rd Nw, Atlanta, GA 30309-1147 | |
(404) 996-0120 | |
(404) 351-6762 |
Full Name | Dustin Jared Smith |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 2292 Peachtree Rd Nw, Atlanta, Georgia |
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 |
---|---|---|---|
1427219567 | NPI | - | NPPES |
808095300 | Medicaid | ID | |
500640264 | Medicaid | OR | |
P01027050 | Other | OR | RR MEDICARE (PROVIDENCE) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD156439 (Oregon) | Secondary |
207Q00000X | Family Medicine | MR-0995 (Idaho) | Secondary |
207Q00000X | Family Medicine | 101661 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Dustin Jared Smith, MD 3710 Cloudland Dr Nw, Atlanta, GA 30327-2910 Ph: (208) 585-1384 | Dustin Jared Smith, MD 2292 Peachtree Rd Nw, Atlanta, GA 30309-1147 Ph: (404) 996-0120 |
Fidelia O Osinubi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3885 Princeton Lakes Way, Suite 402, Atlanta, GA 30331 Phone: 404-349-0496 Fax: 404-349-6081 | |
Theresa R Jacobs, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 868 York Ave Sw, Atlanta, GA 30310 Phone: 404-752-1400 Fax: 404-758-0740 | |
David M Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 Ridge Ave Sw, Atlanta, GA 30315 Phone: 404-688-1350 Fax: 404-564-6734 | |
Dr. Bhavi Patel Purohit, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Westview Dr Sw, Atlanta, GA 30310 Phone: 404-756-1230 Fax: 404-752-8682 | |
Dr. Edmond Shih, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5461 Buford Hwy Ne, Atlanta, GA 30340 Phone: 770-457-5556 Fax: 770-457-7776 | |
Zahidul Islam Chowdhury, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 N Highland Ave Ne, Suite F, Atlanta, GA 30307 Phone: 404-658-9840 Fax: 404-658-9846 | |
Marissa Benn Lapedis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 W Peachtree St Nw Ste 200a, Atlanta, GA 30309 Phone: 404-575-2000 Fax: 404-575-2001 |