David J. Smith Md Pc - Medicare Mental Health Clinic in Grand Ledge, MI

David J. Smith Md Pc is a medicare enrolled mental health clinic (Family Medicine) in Grand Ledge, Michigan. The current practice location for David J. Smith Md Pc is 1035 Charlevoix Dr Ste 100, Grand Ledge, Michigan. For appointments, you can reach them via phone at (517) 627-2181. The mailing address for David J. Smith Md Pc is 1035 Charlevoix Dr Ste 100, Grand Ledge, Michigan and phone number is (517) 627-2181.

David J. Smith Md Pc is licensed to practice in Michigan (license number DS030055). The clinic also participates in the medicare program and its NPI number is 1669523650. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (517) 627-2181.

Contact Information

David J. Smith Md Pc
1035 Charlevoix Dr Ste 100
Grand Ledge
MI 48837-2223
(517) 627-2181
(517) 622-1242

Map and Direction


Mental Health Clinic Profile

Full NameDavid J. Smith Md Pc
SpecialityFamily Medicine
Location1035 Charlevoix Dr Ste 100, Grand Ledge, Michigan
Authorized Official Name and PositionDavid J Smith (PRESIDENT)
Authorized Official Contact5176272181
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David J. Smith Md Pc
1035 Charlevoix Dr Ste 100
Grand Ledge
MI 48837-2223

Ph: (517) 627-2181
David J. Smith Md Pc
1035 Charlevoix Dr Ste 100
Grand Ledge
MI 48837-2223

Ph: (517) 627-2181

NPI Details:

NPI Number1669523650
Provider Enumeration Date01/16/2007
Last Update Date12/11/2017

Medicare PECOS Information:

Medicare PECOS PAC ID2567431729
Medicare Enrollment IDO20040925000140

Medical Identifiers

Medical identifiers for David J. Smith Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669523650NPI-NPPES
080B360240OtherMIBCBSM GROUP NUMBER
C1769OtherMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 6401007475 (Michigan)Secondary
207Q00000XFamily Medicine DS030055 (Michigan)Primary
363LF0000XNurse Practitioner - Family 4704208405 (Michigan)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. David J. Smith Md Pc acts as a billing entity for following providers:
Provider NameRobyn D Gazall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215019682
PECOS PAC ID: 2062514599
Enrollment ID: I20070301000167
Provider NameEdward D Ball
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750499083
PECOS PAC ID: 3678649712
Enrollment ID: I20080915000036
Provider NameTimothy J Izzo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720152846
PECOS PAC ID: 5698899854
Enrollment ID: I20100825000766
Provider NameEric G Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689748725
PECOS PAC ID: 8729102892
Enrollment ID: I20100825001113
Provider NameDavid J Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275623662
PECOS PAC ID: 5193794352
Enrollment ID: I20101007000724
Provider NameTracy Marie Wirth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760795983
PECOS PAC ID: 0446442305
Enrollment ID: I20101011000323
Provider NameJami M Devarona
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356415491
PECOS PAC ID: 8729200431
Enrollment ID: I20141113001303
Provider NameSandra G Brooks
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578735155
PECOS PAC ID: 4284933151
Enrollment ID: I20160427000910
Provider NamePeter C Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043430606
PECOS PAC ID: 4981741782
Enrollment ID: I20160817001848
Provider NameElizabeth T Stoumbos
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639614373
PECOS PAC ID: 8820338213
Enrollment ID: I20190321001528
Provider NameElizabeth Catherine Paine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679929343
PECOS PAC ID: 9537497987
Enrollment ID: I20190822001458
Provider NameKelsie Lynne Barnhart
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013635648
PECOS PAC ID: 7113398595
Enrollment ID: I20230123000895
Provider NameDominic Izzo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932723905
PECOS PAC ID: 6507289600
Enrollment ID: I20230612002875
Provider NameJacob Monestersky
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740804632
PECOS PAC ID: 4880017821
Enrollment ID: I20230615000725
Provider NameLauren Victoria Greene
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750731725
PECOS PAC ID: 6507150224
Enrollment ID: I20231003002810

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.