| Susan M Smith, MD | |
|
36500 Aurora Dr, Summit, WI 53066-4899 | |
| (262) 434-1000 | |
| Not Available |
| Full Name | Susan M Smith |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 21 Years |
| Location | 36500 Aurora Dr, Summit, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740444850 | NPI | - | NPPES |
| 100065488 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 53408 (Arizona) | Primary |
| 207L00000X | Anesthesiology | 66740 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-wisconsin Anesthesia Sc | 2163968819 | 113 |
| District Medical Group Inc | 7315086691 | 406 |
| Oregon Anesthesiology Group Pc | 3476451659 | 194 |
| Entity Name | Vituity-wisconsin Anesthesia Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821831975 PECOS PAC ID: 2163968819 Enrollment ID: O20240718002237 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Smith, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-1000 | Susan M Smith, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-1000 |
Michael C Schmitt, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Charles R Hollman, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Tami L Ulatowski, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-2440 | |
Dr. James Mesrobian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Mr. Hector E Lopez, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Travis M Hecker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 Fax: 262-434-5350 |