| Dr Mark Smith, MD | |
|
16001 W 9 Mile Rd, Southfield, MI 48075-4818 | |
| (248) 849-3000 | |
| Not Available |
| Full Name | Dr Mark Smith |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 16001 W 9 Mile Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598795106 | NPI | - | NPPES |
| 104288626 | Medicaid | MI | |
| MS068364 | Other | MI | BC/BS OF MICHIGAN |
| 104129951 | Medicaid | MI | |
| 104274943 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4301068364 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 4301068364 (Michigan) | Primary |
| Entity Name | Independent Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Smith, MD 7064 Forest Way, Brighton, MI 48116-4700 Ph: () - | Dr Mark Smith, MD 16001 W 9 Mile Rd, Southfield, MI 48075-4818 Ph: (248) 849-3000 |
Dr. Lindsay Anne Richmond-pruneau, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. James Bishop Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Howard Fertel, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Ann Marsh-senic, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Gary Pilchak, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Nirmal Nandakumar, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Andrew Solway, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2407 |