| Jibril Ahmad Smith, MD | |
|
950 High Ridge Rd, Stamford, CT 06905-1601 | |
| (203) 324-5740 | |
| (203) 324-5735 |
| Full Name | Jibril Ahmad Smith |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 950 High Ridge Rd, Stamford, Connecticut |
| 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 |
|---|---|---|---|
| 1780211383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 74327 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camden-clark Physician Corporation | 5294885661 | 254 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Jibril Ahmad Smith, MD 1290 Silas Deane Hwy, Hartford Healthcare-cvo, Wethersfield, CT 06109-4337 Ph: () - | Jibril Ahmad Smith, MD 950 High Ridge Rd, Stamford, CT 06905-1601 Ph: (203) 324-5740 |
Rodrigo Acosta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 32 Strawberry Hill Ct, Suite 41096, Stamford, CT 06902 Phone: 203-977-2566 Fax: 203-977-2568 | |
Debra Susan Gramlich, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1180 Newfield Ave, Stamford, CT 06905 Phone: 314-888-5233 | |
Dr. Walter Michael Kobialka, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1275 Summer St Ste 102, Stamford, CT 06905 Phone: 203-325-0764 Fax: 203-325-0865 | |
Dr. Jaime Rivas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 60 Strawberry Hill Ave Ste L1, Stamford, CT 06902 Phone: 203-274-6843 Fax: 888-571-3180 | |
Lindsay Meyer, FNP- BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Buxton Farm Rd, Stamford, CT 06905 Phone: 203-322-3221 | |
Dr. Efraim Gomez Zapata, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 60 Strawberry Hill Ave Ste L1, Stamford, CT 06902 Phone: 203-327-1288 Fax: 203-327-1025 | |
Dr. Shanthi Devaraj, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Bedford St, Stamford, CT 06905 Phone: 203-323-8700 Fax: 203-323-1785 |