| Kelly Don Smith, MD | |
|
2200 N Kimball #700, Mitchell, SD 57301 | |
| (605) 996-1159 | |
| (605) 996-1159 |
| Full Name | Kelly Don Smith |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 2200 N Kimball #700, Mitchell, South Dakota |
| 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 |
|---|---|---|---|
| 1780751099 | NPI | - | NPPES |
| 7200660 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5012 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera St Benedict Health Center - Cah | Parkston, SD | Hospital |
| Platte Health Center - Cah | Platte, SD | Hospital |
| Avera De Smet Memorial Hospital - Cah | De smet, SD | Hospital |
| Avera Weskota Memorial Medical Center - Cah | Wessington springs, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Queen Of Peace | 9335050806 | 105 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
| Entity Name | Wagner Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740306992 PECOS PAC ID: 3577459700 Enrollment ID: O20040225000391 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1992466635 PECOS PAC ID: 9335050806 Enrollment ID: O20220301001771 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Don Smith, MD 2200 N Kimball #700, Po Box 975, Mitchell, SD 57301 Ph: (605) 996-1159 | Kelly Don Smith, MD 2200 N Kimball #700, Mitchell, SD 57301 Ph: (605) 996-1159 |
Mrs. Tamara Sue Wheeler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 N Kimball # 700, Mitchell, SD 57301 Phone: 605-996-1159 | |
Mr. Carey Clay Buhler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 N Kimball St 700, Mitchell, SD 57301 Phone: 605-996-1159 Fax: 605-996-2978 | |
Dr. Stephen Dick, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 605 N Foster St, Mitchell, SD 57301 Phone: 605-995-5756 | |
Mr. Calvin F Andersen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 N Kimball, #700, Mitchell, SD 57301 Phone: 605-996-1159 Fax: 605-996-2978 |