| Dr Dantwan Shawntel Smith, MD | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-1000 | |
| Not Available |
| Full Name | Dr Dantwan Shawntel Smith |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 2500 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659866895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | T-3672 (Mississippi) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | T-3672 (Mississippi) | Primary |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | Relias Emergency Medicine Specialists Of West Point, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275172736 PECOS PAC ID: 0042648594 Enrollment ID: O20200316000656 |
| Entity Name | Monogram Health Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326655986 PECOS PAC ID: 4880004183 Enrollment ID: O20210111001028 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
| Entity Name | Relias Hospitalist Medicine Specialists Of Pontotoc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972189330 PECOS PAC ID: 0143629592 Enrollment ID: O20210604001444 |
| Entity Name | Relias Hospitalist Medicine Specialists Of Tupelo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710622832 PECOS PAC ID: 8022498781 Enrollment ID: O20220712001702 |
| Entity Name | Ctd Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851039762 PECOS PAC ID: 4486025087 Enrollment ID: O20230808004322 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dantwan Shawntel Smith, MD 270 August Dr, Brandon, MS 39042-8473 Ph: (662) 251-9129 | Dr Dantwan Shawntel Smith, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000 |
Graves Crawley Stubblefield Jr., M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844 | |
Dr. Rebecca Chick Pace, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415 | |
Jewelian Akbar Baig, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645 | |
Jo P Deal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441 | |
Samuel Hammond Love, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 49, Jackson, MS 39216 Phone: 601-200-4850 Fax: 601-200-4838 | |
Meghan Alford Luter, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532 | |
Dr. Taylor Brooke Winstead, MD, PHARMD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |