| Randall J Smith, MD | |
|
1200 S Columbia Rd, Grand Forks, ND 58201-4036 | |
| (701) 780-5000 | |
| Not Available |
| Full Name | Randall J Smith |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 30 Years |
| Location | 1200 S Columbia Rd, Grand Forks, North 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 |
|---|---|---|---|
| 1154417418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 9593 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altru Hospital | Grand forks, ND | Hospital |
| Great Falls Clinic Hospital | Great falls, MT | Hospital |
| Riverview Hospital | Crookston, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Altru Health System | 1355251604 | 554 |
| Great Falls Clinic Llc | 8325944499 | 58 |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall J Smith, MD Po Box 6002, Grand Forks, ND 58206-6002 Ph: (701) 780-5000 | Randall J Smith, MD 1200 S Columbia Rd, Grand Forks, ND 58201-4036 Ph: (701) 780-5000 |
Bernie J Dallum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-5246 | |
Gerald S Smyser, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Dr. Andrew Lukaszewicz, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 | |
Marshall Winchester, MD Radiology Medicare: Medicare Enrolled Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Larissa L Hood, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Justin Mauch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477 |