Dustin Jared Smith, MD | |
1321 Ne 99th Ave, Suite 100, Portland, OR 97220-9437 | |
(503) 215-9900 | |
Not Available |
Full Name | Dustin Jared Smith |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 1321 Ne 99th Ave, Portland, Oregon |
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 |
---|---|---|---|
1427219567 | NPI | - | NPPES |
P01027050 | Other | OR | RR MEDICARE (PROVIDENCE) |
500640264 | Medicaid | OR | |
808095300 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MR-0995 (Idaho) | Secondary |
207Q00000X | Family Medicine | MD156439 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 968 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Dustin Jared Smith, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Dustin Jared Smith, MD 1321 Ne 99th Ave, Suite 100, Portland, OR 97220-9437 Ph: (503) 215-9900 |
Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940 | |
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613 | |
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405 | |
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700 | |
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249 | |
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480 | |
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779 |