Dr Shannon Marie Smith, MD/MPH in Fairbanks, AK

Dr Shannon Marie Smith, MD/MPH is a medicare enrolled "Urology" physician in Fairbanks, Alaska. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Urology. She is a member of the group practice Tanana Valley Clinic Llc and her current practice location is 1650 Cowles St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 458-2630.

Dr Shannon Marie Smith is licensed to practice in Alaska (license number 232073) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043673791.

Contact Information

	Dr Shannon Marie Smith, MD/MPH
	1650 Cowles St, Fairbanks, AK 99701-5907
	(907) 458-2630
	(907) 459-3508

Map and Direction

Physician's Profile

Full Name	Dr Shannon Marie Smith
Gender	Female
Speciality	Urology
Experience	9 Years
Location	1650 Cowles St, Fairbanks, Alaska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shannon Marie Smith graduated from medical school in 2016

NPI Data:

NPI Number: 1043673791
Provider Enumeration Date: 03/31/2016
Last Update Date: 06/12/2025

Medicare PECOS Information:

PECOS PAC ID: 6204170004
Enrollment ID: I20250213003545

Medical Identifiers

Medical identifiers for Dr Shannon Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043673791	NPI	-	NPPES
1753434	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	A172902 (California)	Secondary
208800000X	Urology	232073 (Alaska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairbanks Memorial Hospital	Fairbanks, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tanana Valley Clinic Llc	5698056901	131

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 Shannon Marie Smith allows following entities to bill medicare on her behalf.

Entity Name	Tanana Valley Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991

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 Shannon Marie 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 Address	Practice Location Address
Dr Shannon Marie Smith, MD/MPH 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 458-2630	Dr Shannon Marie Smith, MD/MPH 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 458-2630

Reviews and Comments

Urology Doctors in Fairbanks, AK

Dr. David Scott Sharp, M.D. Urology Medicare: May Accept Medicare Assignments Practice Location: 1211 Cushman St Ste 100, Fairbanks, AK 99701 Phone: 907-328-0989 Fax: 855-259-0324
Max Levitt, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 1211 Cushman St, Fairbanks, AK 99701 Phone: 907-328-0989 Fax: 855-259-0324
Tony Nimeh, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 1211 Cushman St, Fairbanks, AK 99701 Phone: 907-328-0989

Dr Shannon Marie Smith, MD/MPH - Medicare Urology in Fairbanks, AK