Dr Douglas Roland Smith, MD - Medicare Family Practice in Holladay, UT

Dr Douglas Roland Smith, MD is a medicare enrolled "Family Medicine" physician in Holladay, Utah. He went to Medical College Of Wisconsin and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 4544 S Holladay Blvd, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 682-6817.

Dr Douglas Roland Smith is licensed to practice in Utah (license number 56913841205) 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 1174681928.

Contact Information

Dr Douglas Roland Smith, MD
4544 S Holladay Blvd,
Holladay, UT 84117-4404
(801) 682-6817
Not Available



Physician's Profile

Full NameDr Douglas Roland Smith
GenderMale
SpecialityFamily Practice
Experience21 Years
Location4544 S Holladay Blvd, Holladay, 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:
  • Dr Douglas Roland Smith attended and graduated from Medical College Of Wisconsin in 2003
  NPI Data:
  • NPI Number: 1174681928
  • Provider Enumeration Date: 12/05/2006
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274596184
  • Enrollment ID: I20041110001076

Medical Identifiers

Medical identifiers for Dr Douglas Roland Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174681928NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QH0002XFamily Medicine - Hospice And Palliative Medicine 56913841205 (Utah)Secondary
207Q00000XFamily Medicine 56913841205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Angels Crossing Home HospiceSalt lake city, UTHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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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. Dr Douglas Roland Smith allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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Entity NameHealth Diversified - Medical Group Of Utah Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508518085
PECOS PAC ID: 8325401169
Enrollment ID: O20230828001901

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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. Dr Douglas Roland 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
Dr Douglas Roland Smith, MD
4417 S Doris Way,
Holladay, UT 84124-3525

Ph: (801) 682-6817
Dr Douglas Roland Smith, MD
4544 S Holladay Blvd,
Holladay, UT 84117-4404

Ph: (801) 682-6817

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Family Medicine Doctors in Holladay, UT

Dr. Jordan Russell Roberts, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 999 E Murray Holladay Rd Ste 207, Holladay, UT 84117
Phone: 801-268-2584    Fax: 801-262-1168

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