Douglas S Smith, MD - Medicare Pediatrics in Menomonee Falls, WI

Douglas S Smith, MD is a medicare enrolled "Pediatrics" physician in Menomonee Falls, Wisconsin. His current practice location is N84 W16889 Menomonee Ave, Menomonee Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 251-7500.

Douglas S Smith is licensed to practice in Wisconsin (license number 27805) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821020058.

Contact Information

Douglas S Smith, MD
N84 W16889 Menomonee Ave,
Menomonee Falls, WI 53051
(262) 251-7500
(262) 251-7128

Map and Direction




Physician's Profile

Full NameDouglas S Smith
GenderMale
SpecialityPediatrics
LocationN84 W16889 Menomonee Ave, Menomonee Falls, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821020058
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 10/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759312960
  • Enrollment ID: I20050827000151

Medical Identifiers

Medical identifiers for Douglas S Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821020058NPI-NPPES
30747600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 27805 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas S Smith allows following entities to bill medicare on his behalf.
Entity NameAurora Advanced Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas S Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Douglas S Smith, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (262) 251-7500
Douglas S Smith, MD
N84 W16889 Menomonee Ave,
Menomonee Falls, WI 53051

Ph: (262) 251-7500

Reviews and Comments


Pediatrics Doctors in Menomonee Falls, WI

Ms. Laura L. Franck, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: W180n8000 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-255-2500    Fax: 262-253-9501
Lara Totzke, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-255-2500    
Dr. Brett A Barkimer, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: W129n7055 Northfield Dr, Menomonee Falls, WI 53051
Phone: 262-253-2510    Fax: 262-253-3399
Soniya K Pawar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051
Phone: 262-251-7500    
Samir Sabnis, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-255-2500    
Karen M Jacobson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: N84 W16889 Menomonee Avenue, Menomonee Falls, WI 53051
Phone: 262-251-7500    Fax: 262-251-7128
Lourdes Edelmina Santiago, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-255-2500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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