| David J Smith, MD | |
|
1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837-2223 | |
| (517) 627-2181 | |
| (517) 622-1242 |
| Full Name | David J Smith |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1035 Charlevoix Dr, Grand Ledge, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275623662 | NPI | - | NPPES |
| 080079682 | Other | MEDICARE RAILROAD | |
| P54028 | Other | MI | BLUE CARE NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301030055 (Michigan) | Primary |
| Entity Name | David J. Smith Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669523650 PECOS PAC ID: 2567431729 Enrollment ID: O20040925000140 |
| Mailing Address | Practice Location Address |
|---|---|
| David J Smith, MD 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837-2223 Ph: (517) 627-2181 | David J Smith, MD 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837-2223 Ph: (517) 627-2181 |
Dr. Joseph Paul Van Ark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11615 Hartel Rd, Ste 108, Grand Ledge, MI 48837 Phone: 517-627-3281 Fax: 517-627-8722 | |
Dr. Kenneth Wynne Evans, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Charlevoix Dr, Grand Ledge, MI 48837 Phone: 517-627-0100 Fax: 517-627-0150 | |
Dr. Barbara D Saxena, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1005 Charlevoix Dr, Suite 180, Grand Ledge, MI 48837 Phone: 517-622-1814 Fax: 517-622-0694 | |
Dr. Quan D Nguyen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11615 Hartel Rd, Ste 108, Grand Ledge, MI 48837 Phone: 517-627-3281 Fax: 517-627-8722 | |
Eric G Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 | |
Timothy J Izzo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 Fax: 517-622-1242 |