Dr Sam P Smith, DO | |
4915 East Baseline Road, Suite 102, Gilbert, AZ 85234-2966 | |
(480) 646-8660 | |
(480) 646-8665 |
Full Name | Dr Sam P Smith |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 23 Years |
Location | 4915 East Baseline Road, Gilbert, Arizona |
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 |
---|---|---|---|
1962420315 | NPI | - | NPPES |
11458639 | Other | AZ | CAQH |
117012 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 4237 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sam P Smith Do Llc | 3870599426 | 2 |
Entity Name | Sam P Smith Do Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710904636 PECOS PAC ID: 3870599426 Enrollment ID: O20061005000016 |
Mailing Address | Practice Location Address |
---|---|
Dr Sam P Smith, DO 4915 East Baseline Road, Suite 102, Gilbert, AZ 85234-2966 Ph: (480) 646-8660 | Dr Sam P Smith, DO 4915 East Baseline Road, Suite 102, Gilbert, AZ 85234-2966 Ph: (480) 646-8660 |
Ali M Rkein, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1688 E Boston St #101, Gilbert, AZ 85295 Phone: 480-855-0085 Fax: 480-855-0086 | |
Daniel Condie, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3530 S Val Vista Dr # B109, Gilbert, AZ 85297 Phone: 480-905-8485 Fax: 480-905-7274 | |
Robert W.h. Rampton, DO Dermatology Medicare: Medicare Enrolled Practice Location: 1688 E Boston St Ste 101, Gilbert, AZ 85295 Phone: 480-855-0085 | |
Dr. Matthew Travis Woods, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1688 E. Boston St.,, Suite 101, Gilbert, AZ 85295 Phone: 480-855-0085 Fax: 480-855-0086 | |
John Scott Kasteler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 875 N Greenfield Rd Ste 108, Gilbert, AZ 85234 Phone: 480-801-2103 Fax: 480-801-2104 | |
Dustin James Mullens, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1459 S Higley Rd Ste 106, Gilbert, AZ 85296 Phone: 480-556-0446 Fax: 480-556-0447 | |
Jordan E Abbott, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 |