Sabrina Marie Smith, is a
Pediatrics physician based in Johnson Creek, Wisconsin. Sabrina Marie Smith is licensed to practice in Wisconsin (license number 16258-33) and her current practice location is 504 Midge St, Johnson Creek, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(503) 812-5146.
NPI number for Sabrina Marie Smith is 1710793450 and her current mailing address is 504 Midge St, Johnson Creek, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710793450.
Physician's Profile
| Full Name | Sabrina Marie Smith |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 504 Midge St, Johnson Creek, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710793450
- Provider Enumeration Date: 12/07/2024
- Last Update Date: 12/07/2024
Medical Identifiers
Medical identifiers for Sabrina Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710793450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 16258-33 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sabrina Marie Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sabrina Marie Smith,
504 Midge St,
Johnson Creek, WI 53038-1203
Ph: (503) 812-5146 | Sabrina Marie Smith,
504 Midge St,
Johnson Creek, WI 53038-1203
Ph: (503) 812-5146 |
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