| Jay S Smitherman, MD | |
|
2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im, Lacey, WA 98516-3138 | |
| (360) 923-4600 | |
| (360) 923-4663 |
| Full Name | Jay S Smitherman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 2555 Marvin Rd Ne, Lacey, Washington |
| 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 |
|---|---|---|---|
| 1225028053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD60003286 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Peter Hospital | Olympia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 6709782600 | 428 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay S Smitherman, MD Po Box 3360, Portland, OR 97208-3360 Ph: (360) 486-6508 | Jay S Smitherman, MD 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im, Lacey, WA 98516-3138 Ph: (360) 923-4600 |
Ana Maria Mihalcea, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Northwest Ln Se, Suite A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090 | |
Ioan Vlad Nicolescu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-493-7800 | |
Mijung Lee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se Ste 200, Lacey, WA 98503 Phone: 360-754-3934 Fax: 360-943-8023 | |
Gordon F. Rennie, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090 | |
Dr. Cynthia Barbara Aller, D.O., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4525 3rd Ave Se, Ste 200, Lacey, WA 98503 Phone: 360-754-3934 Fax: 360-943-8023 | |
Dr. David Lynn Fairbrook, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Northwest Ln Se, Lacey, WA 98503 Phone: 360-491-4460 |