Peter Thomas Smyth, MD is a
Internal Medicine physician based in Glencoe, Minnesota. Peter Thomas Smyth is licensed to practice in Minnesota (license number 21086) and his current practice location is 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 864-3121.
NPI number for Peter Thomas Smyth is 1649268707 and his current mailing address is 1805 Hennepin Ave N, Glencoe, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649268707.
Physician's Profile
| Full Name | Peter Thomas Smyth |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1805 Hennepin Ave N, Glencoe, Minnesota |
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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: 1649268707
- Provider Enumeration Date: 10/12/2005
- Last Update Date: 02/24/2015
Medical Identifiers
Medical identifiers for Peter Thomas Smyth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649268707 | NPI | - | NPPES |
| 405790200 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 21086 (Minnesota) | 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. Peter Thomas Smyth 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 |
|---|
Peter Thomas Smyth, MD
1805 Hennepin Ave N,
Glencoe, MN 55336-1416
Ph: (320) 864-3121 | Peter Thomas Smyth, MD
1805 Hennepin Ave N, Glencoe Regional Health Services,
Glencoe, MN 55336-1416
Ph: (320) 864-3121 |
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