| Douglas D Smith, MD | |
|
206 N Bismark St, Suite A, Concordia, MO 64020-8180 | |
| (660) 463-0234 | |
| (660) 463-0266 |
| Full Name | Douglas D Smith |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 206 N Bismark St, Concordia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891751129 | NPI | - | NPPES |
| 010568509 | Medicaid | MO | |
| 540568508 | Medicaid | MO | |
| 595956103 | Medicaid | MO | |
| 14109027 | Other | BCBS | |
| 14109017 | Other | BCBS | |
| 202545364 | Medicaid | MO | |
| 599225901 | Medicaid | MO | |
| 14109077 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R9H22 (Missouri) | Primary |
| Entity Name | Macon County Samaritan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548215106 PECOS PAC ID: 1456261395 Enrollment ID: O20040121000179 |
| Entity Name | Harrison County Community Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1528062569 PECOS PAC ID: 4587630926 Enrollment ID: O20071201000173 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas D Smith, MD 8027 Strawberry Hill Rd, Odessa, MO 64076-5399 Ph: (816) 633-4199 | Douglas D Smith, MD 206 N Bismark St, Suite A, Concordia, MO 64020-8180 Ph: (660) 463-0234 |
Jerry L. Meyer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 905 S Main St, Concordia, MO 64020 Phone: 660-463-7966 Fax: 660-463-7729 | |
Sarah Nicole Kirchhoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 S Main St, Concordia, MO 64020 Phone: 660-463-7966 Fax: 660-463-7729 |