| Kenneth B Smith, MD | |
|
901 Patients First Dr, Washington, MO 63090-4700 | |
| (636) 239-7500 | |
| (636) 239-2836 |
| Full Name | Kenneth B Smith |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 43 Years |
| Location | 901 Patients First Dr, Washington, Missouri |
| 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 |
|---|---|---|---|
| 1801822747 | NPI | - | NPPES |
| 202116802 | Medicaid | MO | |
| 110166321 | Other | RAILROAD MEDICARE | |
| P01135273 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R7025 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Home Health | Saint louis, MO | Home health agency |
| Mercy Hospital Washington | Washington, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Mercy Hospital South | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Mercy Clinic East Communities | 7214827922 | 535 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043574940 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth B Smith, MD 901 Patients First Dr, Washington, MO 63090-4700 Ph: (636) 239-7500 | Kenneth B Smith, MD 901 Patients First Dr, Washington, MO 63090-4700 Ph: (636) 239-7500 |
Dr. Isaac I Cohen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 Patients First Drive, Washington, MO 63090 Phone: 636-390-1600 Fax: 636-390-1601 | |
Sudhanshu Gogia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr, Washington, MO 63090 Phone: 636-239-7344 Fax: 636-239-9436 | |
Rashid Mahmood Qureshi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8231 | |
Dr. Nicholas W Frederickson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Drive Suite 3300, Washington, MO 63090 Phone: 636-239-7344 Fax: 636-239-9436 | |
Dr. John R Douglas Peterson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 3300, Washington, MO 63090 Phone: 636-239-7344 | |
Mohan Mallikarjuna Edupuganti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 2500, Washington, MO 63090 Phone: 636-239-2711 | |
Dr. Roberto Pacheco-coronado, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 2500, Washington, MO 63090 Phone: 636-239-2711 |