Jordan Smith, DO | |
1550 S Pioneer Way, Moses Lake, WA 98837-4613 | |
(509) 793-9792 | |
(509) 764-3287 |
Full Name | Jordan Smith |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 8 Years |
Location | 1550 S Pioneer Way, Moses Lake, 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 |
---|---|---|---|
1023464609 | NPI | - | NPPES |
2181923 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | OP61146174 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Samaritan Hospital | Moses lake, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grant County Public Hospital District 1 | 9931095692 | 88 |
Entity Name | Grant County Public Hospital District 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602 |
Mailing Address | Practice Location Address |
---|---|
Jordan Smith, DO 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Jordan Smith, DO 1550 S Pioneer Way, Moses Lake, WA 98837-4613 Ph: (509) 793-9792 |
Louis F. Martin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1550 S Pioneer Way, Suite 370, Moses Lake, WA 98837 Phone: 509-764-2928 Fax: 509-764-2929 | |
Rodney E Grolman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Suite 370, Moses Lake, WA 98837 Phone: 410-218-8059 | |
Andrea Matson, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9792 Fax: 509-764-3287 | |
Eric Ebaugh, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Qi Ying Mcclelland, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9792 Fax: 509-764-3287 | |
Allen D Rolfs, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 |