Kim Marie Smith, MD | |
5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | |
(734) 712-3456 | |
Not Available |
Full Name | Kim Marie Smith |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 5301 Mcauley Dr, Ypsilanti, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144257171 | NPI | - | NPPES |
KJ054260 | Other | MI | BLUE SHIELD |
103372663 | Medicaid | MI | |
103458703 | Medicaid | MI | |
104482070 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 054260 (Michigan) | Primary |
Entity Name | Epmg Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386688992 PECOS PAC ID: 4789596339 Enrollment ID: O20040211000686 |
Entity Name | Hospitalist Physicians Medical Group Of Michigan, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003978867 PECOS PAC ID: 4688778228 Enrollment ID: O20070409000434 |
Entity Name | Epmg Southern Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336607126 PECOS PAC ID: 0941536114 Enrollment ID: O20190725001424 |
Mailing Address | Practice Location Address |
---|---|
Kim Marie Smith, MD 2000 Green Road, Suite 300, Ann Arbor, MI 48105-1571 Ph: (734) 995-3764 | Kim Marie Smith, MD 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 Ph: (734) 712-3456 |
Charmaine R Gregory, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 | |
Dr. Tanya Boldenow, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3935 | |
Dr. Monique Reeves, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-6869 Fax: 734-544-6704 | |
Robert M Fields, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 | |
Joseph Donovan Dixon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Iha Palliative Care, 5301 E Huron River Drive Suite 2119, Ypsilanti, MI 48197 Phone: 734-712-7255 | |
Dr. Lee Benjamin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3962 |