| Jordan Smith, DO | |
|
1550 S Pioneer Way, Moses Lake, WA 98837-4613 | |
| (509) 793-9792 | |
| (509) 764-3287 |
| Full Name | Jordan Smith |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 10 Years |
| Location | 1550 S Pioneer Way, Moses Lake, 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 |
|---|---|---|---|
| 1023464609 | NPI | - | NPPES |
| 2181923 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OP61146174 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Hospital | Moses lake, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grant County Public Hospital District 1 | 9931095692 | 81 |
| Entity Name | Grant County Public Hospital District 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Smith, DO 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Jordan Smith, DO 1550 S Pioneer Way, Moses Lake, WA 98837-4613 Ph: (509) 793-9792 |
Louis F. Martin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1550 S Pioneer Way, Suite 370, Moses Lake, WA 98837 Phone: 509-764-2928 Fax: 509-764-2929 | |
Rodney E Grolman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Suite 370, Moses Lake, WA 98837 Phone: 410-218-8059 | |
Dr. Peter Zajac, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9792 Fax: 509-764-3287 | |
Andrea Matson, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9792 Fax: 509-764-3287 | |
Eric Ebaugh, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Qi Ying Mcclelland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9792 Fax: 509-764-3287 |