| Russell M Smith, MD | |
|
211 Skyline Drive, White Salmon, WA 98672 | |
| (509) 493-1101 | |
| Not Available |
| Full Name | Russell M Smith |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 41 Years |
| Location | 211 Skyline Drive, White Salmon, Washington |
| 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 |
|---|---|---|---|
| 1669440772 | NPI | - | NPPES |
| 8117327 | Medicaid | WA | |
| 105593 | Medicaid | OR | |
| 2081666 | Medicaid | NV | |
| XPY196668 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00029546 (Washington) | Primary |
| 207P00000X | Emergency Medicine | MD14453 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Klickitat Valley Hospital | Goldendale, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Klickitat County Public Hospital District No 1 | 0648164269 | 30 |
| Entity Name | Klickitat County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467530915 PECOS PAC ID: 0648164269 Enrollment ID: O20040212000690 |
| Entity Name | Public Hospital District No. 2, Klickitat County, Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952483653 PECOS PAC ID: 4981592144 Enrollment ID: O20040309000490 |
| Entity Name | Klickitat County Public Hospital District No 1 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1386689487 PECOS PAC ID: 0648164269 Enrollment ID: O20061104000262 |
| Entity Name | Public Hospital District No. 2, Klickitat County, Washington |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760455687 PECOS PAC ID: 4981592144 Enrollment ID: O20071220000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell M Smith, MD 16506 Sw 29th Street Apt K93, Vancouver, WA 98683 Ph: (509) 493-1101 | Russell M Smith, MD 211 Skyline Drive, White Salmon, WA 98672 Ph: (509) 493-1101 |
Robert E Franzen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Skyline Drive, White Salmon, WA 98672 Phone: 509-493-1101 Fax: 509-493-2838 |