| Dr Bennett Walker Smith Jr, MD | |
|
9651 Maypan Pl, Largo, FL 33777-4906 | |
| (727) 397-4795 | |
| Not Available |
| Full Name | Dr Bennett Walker Smith Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 9651 Maypan Pl, Largo, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407801095 | NPI | - | NPPES |
| 81922V | Other | FL | FL MEDICARE |
| 268375000 | Medicaid | FL | |
| P00087439 | Other | FL | MEDICARE RAILROAD |
| 81922 | Other | FL | FL BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME88402 (Florida) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bennett Walker Smith Jr, MD 9651 Maypan Pl, Largo, FL 33777-4906 Ph: (727) 397-4795 | Dr Bennett Walker Smith Jr, MD 9651 Maypan Pl, Largo, FL 33777-4906 Ph: (727) 397-4795 |
Dr. Ivana Gagula-latham, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 561-699-2954 | |
Dr. Robert A. Levenson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-584-1938 | |
David Jabs, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2025 Indian Rocks Rd S, Largo, FL 33774 Phone: 727-586-7103 | |
Jonathan Dunn, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 2025 Indian Rocks Rd S, Largo, FL 33774 Phone: 727-586-7103 Fax: 727-585-7205 | |
Jonathan Radin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8787 Bryan Dairy Rd, Largo, FL 33777 Phone: 727-394-5331 | |
Dr. Andrew Peters, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-584-1938 | |
Dr. Carl A Tandatnick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-585-4619 |