Mark W Smith, MD | |
1804 W 51st Ave, Kennewick, WA 99337-4626 | |
(509) 619-0562 | |
Not Available |
Full Name | Mark W Smith |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 27 Years |
Location | 1804 W 51st Ave, Kennewick, 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 |
---|---|---|---|
1346288164 | NPI | - | NPPES |
8313371 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD00041077 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Mary Medical Center | Walla walla, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Service- Washington | 0840279758 | 156 |
Entity Name | Providence Health & Service- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
Mailing Address | Practice Location Address |
---|---|
Mark W Smith, MD Po Box 1663, Walla Walla, WA 99362-0031 Ph: (509) 619-0562 | Mark W Smith, MD 1804 W 51st Ave, Kennewick, WA 99337-4626 Ph: (509) 619-0562 |
Nicholas Andrew Juan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7401 W Hood Pl Ste 200, Kennewick, WA 99336 Phone: 509-591-0070 | |
April Rallo Davis, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 S Auburn St, Kennewick, WA 99336 Phone: 509-586-6111 | |
Dr. Gary L Reiber, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1804 W 51st Ave, Kennewick, WA 99337 Phone: 509-619-0562 | |
Dr. Wade R Otte, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 6703 W Rio Grande Ave, Kennewick, WA 99336 Phone: 509-460-5588 Fax: 509-783-5438 | |
Dr. Theodore P Skaarup, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1804 W 51st Ave, Kennewick, WA 99337 Phone: 509-619-0562 | |
Dr. Timothy C Gleeson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1804 W 51st Ave, Kennewick, WA 99337 Phone: 509-619-0562 |