Wallace Austin Smith, MD | |
383 S 300 E, St George, UT 84770-3620 | |
(435) 628-2826 | |
(435) 628-2839 |
Full Name | Wallace Austin Smith |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 12 Years |
Location | 383 S 300 E, St George, Utah |
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 |
---|---|---|---|
1376800532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 9791675-1205 (Utah) | Primary |
207N00000X | Dermatology | 16478 (Nevada) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Dixie Regional Medical Center | St george, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Skin And Cancer Llc | 4587675004 | 8 |
Southwest Skin And Cancer Llc | 4587675004 | 8 |
Entity Name | Southwest Skin And Cancer Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619929783 PECOS PAC ID: 4587675004 Enrollment ID: O20060817000032 |
Mailing Address | Practice Location Address |
---|---|
Wallace Austin Smith, MD 383 S 300 E, St George, UT 84770-3620 Ph: (435) 628-2826 | Wallace Austin Smith, MD 383 S 300 E, St George, UT 84770-3620 Ph: (435) 628-2826 |
Mr. Damion D. Rodeback, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1449 N 1400 W Ste 22, St George, UT 84770 Phone: 435-703-9296 Fax: 435-215-4075 | |
Dr. Benjamin Gill Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1068 E Riverside Dr, St George, UT 84790 Phone: 435-628-6466 Fax: 435-628-3845 | |
W Bret Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 383 S 300 E, St George, UT 84770 Phone: 435-628-2826 Fax: 435-628-2839 | |
Dr. Bruce Grant Lyman Bishop, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 552 N Dixie Dr, St George, UT 84770 Phone: 435-703-9296 | |
Dr. Karl Kirk Trimble, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 169 W 2710 South Cir Ste 101, St George, UT 84790 Phone: 435-674-3552 Fax: 435-674-5905 | |
Robin Berger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 640 E 700 S, Suite 1, St George, UT 84770 Phone: 435-673-7546 Fax: 435-673-7554 | |
Dr. Marie S Tuttle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 652 S Medical Center Dr Ste 300, St George, UT 84790 Phone: 435-251-3670 |