| Gregory Wilkinson Smith, PA-C | |
|
100 E Carroll St, Salisbury, MD 21801-5422 | |
| (410) 546-6400 | |
| Not Available |
| Full Name | Gregory Wilkinson Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 100 E Carroll St, Salisbury, Maryland |
| 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 |
|---|---|---|---|
| 1891267647 | NPI | - | NPPES |
| C0007057 | Other | MD | MEDICAL LICSENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | C0007057 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | C0007057 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Homecall | Easton, MD | Home health agency |
| Adoration Home Health | Salisbury, MD | Home health agency |
| Tidalhealth Home Care | Salisbury, MD | Home health agency |
| Atlantic General Hospital | Berlin, MD | Hospital |
| Tidalhealth Peninsula Regional, Inc | Salisbury, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidalhealth Atlantic Inc | 2365437837 | 95 |
| Tidalhealth Primary Care Llc | 7911320635 | 63 |
| Entity Name | Tidalhealth Atlantic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871582171 PECOS PAC ID: 2365437837 Enrollment ID: O20040415000939 |
| Entity Name | Tidalhealth Peninsula Regional Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184832040 PECOS PAC ID: 3072509702 Enrollment ID: O20040420001571 |
| Entity Name | Tidalhealth Primary Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104453208 PECOS PAC ID: 7911320635 Enrollment ID: O20200714000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Wilkinson Smith, PA-C 100 E Carroll St, Salisbury, MD 21801-5422 Ph: (800) 749-5191 | Gregory Wilkinson Smith, PA-C 100 E Carroll St, Salisbury, MD 21801-5422 Ph: (410) 546-6400 |