Theodore C Smith, CRNA in Tooele, UT - Medicare Certified Registered Nurse Anesthetist (crna)

Theodore C Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tooele, Utah. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mountain View Anesthesia Lc, Presbyterian Healthcare Services and his current practice location is 2055 N Main St, Tooele, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 698-4825.

Theodore C Smith is licensed to practice in Utah (license number 7570542-8901) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336506658.

Contact Information

	Theodore C Smith, CRNA
	2055 N Main St, Tooele, UT 84074-9819
	(801) 698-4825
	Not Available

Map and Direction

Provider's Profile

Full Name	Theodore C Smith
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	2055 N Main St, Tooele, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theodore C Smith graduated from nursing school in 2016

NPI Data:

NPI Number: 1336506658
Provider Enumeration Date: 01/16/2016
Last Update Date: 05/17/2022

Medicare PECOS Information:

PECOS PAC ID: 8527366376
Enrollment ID: I20220308001383

Medical Identifiers

Medical identifiers for Theodore C Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336506658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28227009A (Indiana)	Secondary
163W00000X	Registered Nurse	7570542-3102 (Utah)	Secondary
163W00000X	Registered Nurse	9369122 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	7570542-4406 (Utah)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	288227009A (Indiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	143224 (Montana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	7570542-8901 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Timpanogos Regional Hospital	Orem, UT	Hospital
Mountain View Hospital	Payson, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain View Anesthesia Lc	5991604829	25
Presbyterian Healthcare Services	9234041708	1179

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theodore C Smith allows following entities to bill medicare on his behalf.

Entity Name	Mountain View Anesthesia Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043249840 PECOS PAC ID: 5991604829 Enrollment ID: O20040108000626

Entity Name	Desert Peak Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518972280 PECOS PAC ID: 6002884996 Enrollment ID: O20040920000002

Entity Name	Amsurg St George Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730452814 PECOS PAC ID: 0749442523 Enrollment ID: O20120425000140

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. Theodore C Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Theodore C Smith, CRNA 622 W Lafayette St, Stansbury Park, UT 84074-5571 Ph: (801) 698-4825	Theodore C Smith, CRNA 2055 N Main St, Tooele, UT 84074-9819 Ph: (801) 698-4825

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tooele, UT

Matthew A. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St., Tooele, UT 84074 Phone: 435-843-3600
Robin B. Bradshaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600
Annette S Proctor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600
Evie Anna Purdom, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600
Christopher David Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-8543
Mr. Kyle H Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600
Mark E Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600

Theodore C Smith, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tooele, UT