| Dr Clark Samuel Smith, MD | |
|
660 Bannock St, Denver, CO 80204-4506 | |
| (303) 602-2574 | |
| Not Available |
| Full Name | Dr Clark Samuel Smith |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 660 Bannock St, Denver, Colorado |
| 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 |
|---|---|---|---|
| 1679836035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DR.0057191 (Colorado) | Primary |
| 207P00000X | Emergency Medicine | 2012017704 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centura Health-st Anthony Hospital | Lakewood, CO | Hospital |
| St. Anthony Summit Medical Center | Frisco, CO | Hospital |
| Centura Health-st Anthony North Health Campus | Westminster, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Usacs Community Emergency Services Of Colorado Inc. | 2466711536 | 172 |
| Entity Name | Usacs Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
| Entity Name | Premier Emergency Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457755688 PECOS PAC ID: 0244554970 Enrollment ID: O20150128001221 |
| Entity Name | Usacs Observation Medicine Services Of Colorado Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518491232 PECOS PAC ID: 9133498074 Enrollment ID: O20170707002144 |
| Entity Name | Usacs Community Emergency Services Of Colorado Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053824979 PECOS PAC ID: 2466711536 Enrollment ID: O20180117002329 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clark Samuel Smith, MD 660 Bannock St, Denver, CO 80204-4506 Ph: () - | Dr Clark Samuel Smith, MD 660 Bannock St, Denver, CO 80204-4506 Ph: (303) 602-2574 |
Paul William Schadler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1202 5th St, Plaza Building, Suite 150, Denver, CO 80204 Phone: 303-556-2525 Fax: 303-556-3881 | |
Dr. Rochelle Ravishankara, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1375 E 19th Ave, Denver, CO 80218 Phone: 303-338-4545 | |
Graham S Ingalsbe, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-5183 | |
Cecilia Sorensen, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-6000 | |
Lauran Wirfs, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5250 Leetsdale Dr, Denver, CO 80246 Phone: 303-629-5293 | |
Dr. David Pettit, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Dept #0861, Denver, CO 80256 Phone: 866-898-7136 Fax: 616-975-9824 | |
Alan J. Como, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1719 E 19th Ave, Denver, CO 80218 Phone: 303-839-7111 Fax: 303-306-7753 |