| Dr Mark William Smith, MD | |
|
14734 Park Ave, Charlevoix, MI 49720-1927 | |
| (231) 547-6554 | |
| (231) 547-1179 |
| Full Name | Dr Mark William Smith |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 14734 Park Ave, Charlevoix, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750484879 | NPI | - | NPPES |
| 8002922550 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301076489 (Michigan) | Primary |
| Entity Name | Northwestern Michigan Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073597944 PECOS PAC ID: 7214933928 Enrollment ID: O20061019000359 |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark William Smith, MD 14734 Park Ave, Charlevoix, MI 49720-1927 Ph: (231) 547-6554 | Dr Mark William Smith, MD 14734 Park Ave, Charlevoix, MI 49720-1927 Ph: (231) 547-6554 |
Chris Loewen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14734 Park Ave, Charlevoix, MI 49720 Phone: 231-547-6554 Fax: 231-547-5404 | |
Dr. Daniel M Mann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14734 Park Ave, Charlevoix, MI 49720 Phone: 231-547-6554 Fax: 231-547-1179 | |
Anna G Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14705 W Upright St, Charlevoix, MI 49720 Phone: 231-547-8777 Fax: 231-547-8638 | |
Darcie Jean Dohnal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14734 Park Avenue Bldg A, Charlevoix Primary Care, Charlevoix, MI 49720 Phone: 231-547-6554 Fax: 231-392-7332 | |
Dr. Melodie R Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14705 W Upright St, Charlevoix, MI 49720 Phone: 231-547-1308 Fax: 231-392-7332 | |
Dr. Nathan Craig Boss, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14700 Lake Shore Dr, Charlevoix, MI 49720 Phone: 231-547-3124 Fax: 231-547-8916 | |
Dr. Edward E Newcomb, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 14705 W Upright St, Charlevoix, MI 49720 Phone: 231-547-1308 Fax: 231-392-7332 |