| Beverly D Smith, MD | |
|
620 Madison St, Syracuse, NY 13210-2319 | |
| (111) 111-1111 | |
| Not Available |
| Full Name | Beverly D Smith |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 620 Madison St, Syracuse, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992833875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 251717 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 251717 (New York) | Primary |
| Entity Name | Poplar Bluff Hma Physician Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598710147 PECOS PAC ID: 5092769703 Enrollment ID: O20050307000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly D Smith, MD Po Box 221114, Kirkwood, MO 63122-8114 Ph: () - | Beverly D Smith, MD 620 Madison St, Syracuse, NY 13210-2319 Ph: (111) 111-1111 |
Mantosh J Dewan, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-3105 Fax: 315-464-3163 | |
Deborah Y Bradshaw, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, 4th Floor, Syracuse, NY 13202 Phone: 315-464-4243 Fax: 315-464-5359 | |
Sarah Rosner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Cpep, Syracuse, NY 13203 Phone: 315-726-8610 Fax: 315-726-8667 | |
Wilbur Theodore Albrecht Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 620 Madison St, Hutchings Psychiatric Center, Syracuse, NY 13210 Phone: 315-426-3600 Fax: 315-426-7641 | |
Dr. Clarence G. White, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 Prospect Ave, Cpep, Syracuse, NY 13203 Phone: 315-726-8610 Fax: 315-726-8667 | |
Dr. Wendy Anne Armenta, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400 | |
Dr. Ahmed R Nizar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 742 James St, Outpatient Mental Health Services, Syracuse, NY 13203 Phone: 315-703-2700 Fax: 315-703-2700 |