| Mitchell W Smith, DO | |
|
965 Emerson Pkwy, Suite B, Greenwood, IN 46143-6273 | |
| (317) 865-0055 | |
| (317) 865-0056 |
| Full Name | Mitchell W Smith |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 16 Years |
| Location | 965 Emerson Pkwy, Greenwood, Indiana |
| 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 |
|---|---|---|---|
| 1700101102 | NPI | - | NPPES |
| IN1127019 | Other | IN | MEDICARE PTAN |
| IN1125020 | Other | IN | MEDICARE PTAN |
| 201095070 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 02004276A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Columbus Regional Hospital | Columbus, IN | Hospital |
| Franciscan Health Indianapolis | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allergy Partners Pllc | 7113822420 | 142 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Entity Name | Allergy Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946390 PECOS PAC ID: 7113822420 Enrollment ID: O20130117000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell W Smith, DO Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2625 | Mitchell W Smith, DO 965 Emerson Pkwy, Suite B, Greenwood, IN 46143-6273 Ph: (317) 865-0055 |
Dr. John E. Duplantier, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 965 Emerson Pkwy, Suite B, Greenwood, IN 46143 Phone: 317-865-0055 Fax: 317-865-0056 | |
Dr. Grace Christine Hendrickson, DO Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 965 Emerson Pkwy Ste B, Greenwood, IN 46143 Phone: 317-865-0055 Fax: 317-865-0056 |