| Max Levitt, MD | |
| 
					1211 Cushman St, Fairbanks, AK 99701-4680  | |
| (907) 328-0989 | |
| (855) 259-0324 | 
| Full Name | Max Levitt | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 1211 Cushman St, Fairbanks, Alaska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487499307 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | 213701 (Alaska) | Primary | 
| Entity Name | Fairbanks Urology | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043727878 PECOS PAC ID: 6608100425 Enrollment ID: O20190628000250  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Max Levitt, MD 104 Woodmont Blvd Ste 500, Nashville, TN 37205-2245 Ph: (907) 328-0989  | Max Levitt, MD 1211 Cushman St, Fairbanks, AK 99701-4680 Ph: (907) 328-0989  | 
Dr. Shannon Marie Smith, MD/MPH Urology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-2630 Fax: 907-459-3508  | |
Dr. David Scott Sharp, M.D. Urology Medicare: May Accept Medicare Assignments Practice Location: 1211 Cushman St Ste 100, Fairbanks, AK 99701 Phone: 907-328-0989 Fax: 855-259-0324  | |
Tony Nimeh, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 1211 Cushman St, Fairbanks, AK 99701 Phone: 907-328-0989  |