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

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Theodore C Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tooele, Utah. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Advanced Anesthesia Care, Anesthesia Consulting Partners Pllc, Scl Health Medical Group-butte Llc 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 NameTheodore C Smith
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location2055 N Main St, Tooele, Utah
Accepts Medicare AssignmentsYes. 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: I20190328000448

Medical Identifiers

Medical identifiers for Theodore C Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336506658NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28227009A (Indiana)Secondary
163W00000XRegistered Nurse 7570542-3102 (Utah)Secondary
163W00000XRegistered Nurse 9369122 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 7570542-4406 (Utah)Secondary
367500000XNurse Anesthetist, Certified Registered 288227009A (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 143224 (Montana)Secondary
367500000XNurse Anesthetist, Certified Registered 7570542-8901 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St James HealthcareButte, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Anesthesia Care61032881473
Anesthesia Consulting Partners Pllc46880370398
Scl Health Medical Group-butte Llc246663310280

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 NameButte Pain And Anesthesia Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205869468
PECOS PAC ID: 9133012735
Enrollment ID: O20040206000325
Entity NameScl Health Medical Group-butte Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477869600
PECOS PAC ID: 2466633102
Enrollment ID: O20110301000023
Entity NameAdvanced Anesthesia Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124710207
PECOS PAC ID: 6103288147
Enrollment ID: O20230808003150
Entity NameAnesthesia Consulting Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053092189
PECOS PAC ID: 4688037039
Enrollment ID: O20230831004207

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 AddressPractice 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: Medicare Enrolled
Practice Location: 2055 N Main St, Tooele, UT 84074
Phone: 435-843-3600    
Christopher David Smith, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.