| Jeffrey Smith Md Pc | |
|
1033 Basin Ave Bismarck ND 58504-6649 | |
| (701) 223-6613 | |
| (701) 221-9114 |
| Full Name | Jeffrey Smith Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1033 Basin Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Danita Deichert (INS/BILLING) |
| Authorized Official Contact | 7012236613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Smith Md Pc 1033 Basin Ave Bismarck ND 58504-6649 Ph: (701) 223-6613 | Jeffrey Smith Md Pc 1033 Basin Ave Bismarck ND 58504-6649 Ph: (701) 223-6613 |
| NPI Number | 1275732638 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 02/15/2021 |
| Medicare PECOS PAC ID | 7810098969 |
|---|---|
| Medicare Enrollment ID | O20070719000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275732638 | NPI | - | NPPES |
| 15343 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629017785 PECOS PAC ID: 1557266152 Enrollment ID: I20031205000593 |
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