| Dr Becky Jo Smith, DO | |
|
15959 Hall Rd, Suite 206, Macomb, MI 48044-3904 | |
| (586) 566-9300 | |
| (586) 566-5955 |
| Full Name | Dr Becky Jo Smith |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 15959 Hall Rd, Macomb, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720062722 | NPI | - | NPPES |
| 4195410 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101010421 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Becky Jo Smith, DO 15959 Hall Rd, Suite 206, Macomb, MI 48044-3904 Ph: (586) 566-9300 | Dr Becky Jo Smith, DO 15959 Hall Rd, Suite 206, Macomb, MI 48044-3904 Ph: (586) 566-9300 |
Kayla Jelinek, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 16360 26 Mile Rd, Macomb, MI 48042 Phone: 313-874-4806 | |
Stephen F Redding, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 17941 Hall Rd, Macomb, MI 48044 Phone: 586-465-4722 Fax: 586-465-0804 | |
Dr. Kurt Alfred Ludwig, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 17941 Hall Rd, Macomb, MI 48044 Phone: 586-465-4722 Fax: 586-465-0804 |