| Brian Smith, | |
|
44405 Woodward Ave, Medical Education, Pontiac, MI 48341-5023 | |
| (248) 858-3234 | |
| Not Available |
| Full Name | Brian Smith |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 8 Years |
| Location | 44405 Woodward Ave, Pontiac, Michigan |
| 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 |
|---|---|---|---|
| 1366977894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0068657 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centura Health-avista Adventist Hospital | Louisville, CO | Hospital |
| Boulder Community Health | Boulder, CO | Hospital |
| Centura Health-st Anthony North Health Campus | Westminster, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boulder Medical Center, Pc | 4183536204 | 79 |
| Acute Care Surgery Medical Group Inc | 7214006816 | 135 |
| Entity Name | Boulder Medical Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306820923 PECOS PAC ID: 4183536204 Enrollment ID: O20031105000512 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20221206002128 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Smith, 44405 Woodward Ave, Medical Education, Pontiac, MI 48341-5023 Ph: () - | Brian Smith, 44405 Woodward Ave, Medical Education, Pontiac, MI 48341-5023 Ph: (248) 858-3234 |
Leah Liu, Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Leith Isaac Brown, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Nitin Venkatesh, MD Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 651-767-2078 | |
Dr. Alicia Nicole Kieninger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave, Suite 501, Pontiac, MI 48341 Phone: 248-338-7171 Fax: 248-858-3889 | |
Jason Djohn, Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3234 | |
Dr. Michael Maiden, DO Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 617-721-2615 | |
Dr. Sai Santosh Sreenivasan, DO Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3234 |