| Dr Edward Lawrence Smith, DO | |
|
1411 N Taylor Dr, Sheboygan, WI 53081-3043 | |
| (616) 735-3257 | |
| Not Available |
| Full Name | Dr Edward Lawrence Smith |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 19 Years |
| Location | 1411 N Taylor Dr, Sheboygan, Wisconsin |
| 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 |
|---|---|---|---|
| 1962617845 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ear Nose And Throat Specialists Of Wisconsin Sc | 9830086925 | 20 |
| Entity Name | Ear Nose And Throat Specialists Of Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508819178 PECOS PAC ID: 9830086925 Enrollment ID: O20040303000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Lawrence Smith, DO Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 457-2100 | Dr Edward Lawrence Smith, DO 1411 N Taylor Dr, Sheboygan, WI 53081-3043 Ph: (616) 735-3257 |
Dr. John Revelis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1152 | |
Dr. Evan James Cretney, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Drive, Sheboygan, WI 53081 Phone: 920-457-4461 | |
P Perry Phillips, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000 |