| Michael David Smith, | |
|
800 Washington St, Boston, MA 02111-1552 | |
| (617) 636-5000 | |
| Not Available |
| Full Name | Michael David Smith |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 800 Washington St, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982138707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2020-03049 (North Carolina) | Primary |
| Entity Name | Mary Washington Healthcare Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael David Smith, 800 Washington St # 1013, Boston, MA 02111-1552 Ph: (617) 636-5000 | Michael David Smith, 800 Washington St, Boston, MA 02111-1552 Ph: (617) 636-5000 |
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |
Cailyn Hereen Rood, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |
Dr. Peter J. Hong, MD, MBI Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |
Miki Nishitani, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |