| Donald Brock Smith, DO | |
|
8701 Watertown Plank Rd, Milwaukee, WI 53226-3548 | |
| (414) 955-4575 | |
| Not Available |
| Full Name | Donald Brock Smith |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 5 Years |
| Location | 8701 Watertown Plank Rd, Milwaukee, Wisconsin |
| 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 |
|---|---|---|---|
| 1093336943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 7387 (Oklahoma) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 81799-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comanche County Hospital Authority Southwest Radiology | 7113082009 | 12 |
| Oklahoma Radiology Group P C | 9032101688 | 52 |
| Entity Name | Oklahoma Radiology Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841283165 PECOS PAC ID: 9032101688 Enrollment ID: O20040401001538 |
| Entity Name | Comanche County Hospital Authority Southwest Radiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194996447 PECOS PAC ID: 7113082009 Enrollment ID: O20090209000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Brock Smith, DO 8701 Watertown Plank Rd, Milwaukee, WI 53226-3548 Ph: () - | Donald Brock Smith, DO 8701 Watertown Plank Rd, Milwaukee, WI 53226-3548 Ph: (414) 955-4575 |
Dr. Hong Chen, MD Radiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3700 Fax: 414-805-3777 | |
Dr. Alessandro Vidoni, Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-2060 | |
Sujan Fernando, Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3750 Fax: 414-259-9290 | |
Dr. Zacharias P Zitterkopf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 Fax: 414-649-5296 | |
Javier Alberto Lopez Puebla, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W. Wisconsin Ave, Hub Radiology 3740-4, Milwaukee, WI 53226 Phone: 414-955-1195 Fax: 414-259-9290 | |
James Benjamin Moroney, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 8701 W Watertown Plank Rd, Milwaukee, WI 53226 Phone: 414-456-6800 | |
Allan Vannostrand, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 945 N 12th St, Ste E360, Milwaukee, WI 53233 Phone: 414-219-7226 |