Dr Edward Lawrence Smith, DO - Medicare Otolaryngology in Sheboygan, WI

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Dr Edward Lawrence Smith, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Sheboygan, Wisconsin. He graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Froedtert Manitowoc Medical Group, Llc and his current practice location is 1411 N Taylor Dr, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (616) 735-3257.

Dr Edward Lawrence Smith is licensed to practice in Wisconsin (license number 55826-21) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962617845.

Contact Information

Dr Edward Lawrence Smith, DO
1411 N Taylor Dr,
Sheboygan, WI 53081-3043
(616) 735-3257
Not Available

Map and Direction




Physician's Profile

Full NameDr Edward Lawrence Smith
GenderMale
SpecialityOtolaryngology
Experience20 Years
Location1411 N Taylor Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Edward Lawrence Smith graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1962617845
  • Provider Enumeration Date: 05/13/2007
  • Last Update Date: 09/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8921277336
  • Enrollment ID: I20110801000592

Medical Identifiers

Medical identifiers for Dr Edward Lawrence Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962617845NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 5101016859 (Michigan)Secondary
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 55826-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Froedtert Holy Family Memorial HospitalManitowoc, WIHospital
Aurora Medical Ctr OshkoshOshkosh, WIHospital
Thedacare Regional Medical Center - Neenah IncNeenah, WIHospital
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Froedtert Manitowoc Medical Group, Llc2365836954156

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Edward Lawrence Smith allows following entities to bill medicare on his behalf.
Entity NameFroedtert &the Medical College of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699
Entity NameFroedtert Manitowoc Medical Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437829975
PECOS PAC ID: 2365836954
Enrollment ID: O20220224001282

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 Edward Lawrence Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Otolaryngology Doctors in Sheboygan, WI

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.