Stephen M Smith, MD | |
8700 Sudley Rd, Manassas, VA 20110-4418 | |
(240) 686-2300 | |
Not Available |
Full Name | Stephen M Smith |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 8700 Sudley Rd, Manassas, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285622522 | NPI | - | NPPES |
0009 | Other | CAREFIRST | |
568L865C | Other | MD | MEDICARE |
14211500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | D0045203 (Maryland) | Secondary |
207P00000X | Emergency Medicine | 0101655831 (Virginia) | Primary |
Entity Name | Emergency Medicine Associates Pa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20040126000955 |
Mailing Address | Practice Location Address |
---|---|
Stephen M Smith, MD 12420 Milestone Center Dr Ste 200, Germantown, MD 20876-7111 Ph: (240) 686-2300 | Stephen M Smith, MD 8700 Sudley Rd, Manassas, VA 20110-4418 Ph: (240) 686-2300 |
Thomas John Luckey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8337 | |
Eric John Ahlers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
James R Rosenthal, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Prince William Hospital, Manassas, VA 20110 Phone: 703-369-8337 Fax: 703-369-8868 | |
Frank L Nuar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Sudley Road, Prince William Hospital, Manassas, VA 20110 Phone: 703-369-8337 Fax: 703-369-8868 | |
Dr. Alexander Tiesi, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
Joseph A Zurlo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Prince William Hospital, Manassas, VA 20110 Phone: 703-369-8337 Fax: 703-369-8868 |