Mark David Smith, is a
Emergency Medicine physician based in Doniphan, Missouri. Mark David Smith is licensed to practice in Missouri (license number 2019041549) and his current practice location is 109 Plum St, Doniphan, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 663-2313.
NPI number for Mark David Smith is 1508594631 and his current mailing address is 548 County Road 510, Wappapello, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508594631.
Physician's Profile
| Full Name | Mark David Smith |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 109 Plum St, Doniphan, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508594631
- Provider Enumeration Date: 08/08/2022
- Last Update Date: 08/08/2022
Medical Identifiers
Medical identifiers for Mark David Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508594631 | NPI | - | NPPES |
| 2019041549 | Other | MO | MEDICAL LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 2019041549 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark David Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark David Smith,
548 County Road 510,
Wappapello, MO 63966-8267
Ph: (573) 772-2115 | Mark David Smith,
109 Plum St,
Doniphan, MO 63935-1277
Ph: (573) 663-2313 |
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