Dr Douglas A Smith, MD is a
Family Medicine physician based in Long Lake, Minnesota. Dr Douglas A Smith is licensed to practice in Minnesota (license number 31956) and his current practice location is 155 Golden View Dr, Long Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 889-2675.
NPI number for Dr Douglas A Smith is 1538342118 and his current mailing address is 155 Golden View Dr, Long Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538342118.
Physician's Profile
| Full Name | Dr Douglas A Smith |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 155 Golden View Dr, Long Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538342118
- Provider Enumeration Date: 12/06/2007
- Last Update Date: 12/06/2007
Medical Identifiers
Medical identifiers for Dr Douglas A Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538342118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 31956 (Minnesota) | Primary |
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. Dr Douglas A Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Douglas A Smith, MD
155 Golden View Dr,
Long Lake, MN 55356-9779
Ph: (612) 889-2675 | Dr Douglas A Smith, MD
155 Golden View Dr,
Long Lake, MN 55356-9779
Ph: (612) 889-2675 |
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