| Dr Douglas G Smith, MD | |
|
1230 Maine St, Poland, ME 04274-7325 | |
| (207) 998-4483 | |
| (207) 998-2189 |
| Full Name | Dr Douglas G Smith |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1230 Maine St, Poland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619991320 | NPI | - | NPPES |
| 317930099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD15580 (Maine) | Primary |
| Entity Name | St Marys Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447226584 PECOS PAC ID: 0042107120 Enrollment ID: O20040303000236 |
| Entity Name | Community Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477568 PECOS PAC ID: 0042101099 Enrollment ID: O20040513000884 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas G Smith, MD Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8950 | Dr Douglas G Smith, MD 1230 Maine St, Poland, ME 04274-7325 Ph: (207) 998-4483 |
Joshua Mark Allen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 364 Maine St, Poland, ME 04274 Phone: 207-998-2100 Fax: 207-998-5756 | |
Dana Little, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 364 Maine St, Poland, ME 04274 Phone: 207-998-2100 | |
Basem Mohamed Elbrolosy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 Maine St, Poland, ME 04274 Phone: 207-998-4483 Fax: 207-998-2189 | |
Nathan Raby, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 364 Maine St, Poland, ME 04274 Phone: 207-998-2100 |