| Wendell Robert Smith, | |
|
1101 9th St N, Virginia, MN 55792-2329 | |
| (218) 749-7953 | |
| (218) 749-7952 |
| Full Name | Wendell Robert Smith |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 Years |
| Location | 1101 9th St N, Virginia, Minnesota |
| 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 |
|---|---|---|---|
| 1568480879 | NPI | - | NPPES |
| 321240800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 44610 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center-mesabi/ Mesaba Clinics | Hibbing, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Range Regional Health Services | 8022920024 | 255 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Astera Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendell Robert Smith, 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 749-7953 | Wendell Robert Smith, 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 749-7953 |
Ryan Scott Watson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 | |
Dr. Katie S Lewandowski, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 | |
Dr. Kevin P Riess, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1101 9th Street North, Virginia, MN 55792 Phone: 218-741-0150 | |
Lee Yang, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1421 N 10th Ave, Virginia, MN 55792 Phone: 218-290-5997 |