David Allen Smith, MD | |
7613 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4182 | |
(260) 469-7337 | |
(260) 469-7340 |
Full Name | David Allen Smith |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 37 Years |
Location | 7613 W Jefferson Blvd Ste 200, Fort Wayne, Indiana |
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 |
---|---|---|---|
1962405993 | NPI | - | NPPES |
2080877 | Medicaid | OH | |
104683309 | Medicaid | MI | |
200049180 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01040403A (Indiana) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 01040403A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Lakes Pediatric Surgeons, Inc. | 1052374337 | 3 |
Entity Name | Great Lakes Pediatric Surgeons, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669455267 PECOS PAC ID: 1052374337 Enrollment ID: O20041108000793 |
Mailing Address | Practice Location Address |
---|---|
David Allen Smith, MD 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4182 Ph: (260) 469-7337 | David Allen Smith, MD 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4182 Ph: (260) 469-7337 |
Dr. Ian H. Cook, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Veterans Affairs Medical Center, Fort Wayne, IN 46805 Phone: 260-426-5431 | |
Brett J. Guinn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2510 E Dupont Rd Ste 210, Fort Wayne, IN 46825 Phone: 260-458-3710 Fax: 260-458-3714 | |
Dr. Paul Mitchell Bauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Lutheran Hospital, 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Lindsay B Hardley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-425-6845 | |
Dr. Keith David Clancy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804 Phone: 260-458-3610 Fax: 260-458-3611 | |
Dr. Charles Michael Morgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6481 | |
Jeffery A Yoder, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845 Phone: 260-484-9611 Fax: 260-484-1004 |