Dr Edward Lawrence Smith, DO in Sheboygan, WI - Medicare Otolaryngology

Dr Edward Lawrence Smith, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Sheboygan, Wisconsin. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Froedtert Manitowoc Medical Group, Llc and his current practice location is 1411 N Taylor Dr, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (616) 735-3257.

Dr Edward Lawrence Smith is licensed to practice in Wisconsin (license number 55826-21) 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 1962617845.

Contact Information

	Dr Edward Lawrence Smith, DO
	1411 N Taylor Dr, Sheboygan, WI 53081-3043
	(616) 735-3257
	Not Available

Physician's Profile

Full Name	Dr Edward Lawrence Smith
Gender	Male
Speciality	Otolaryngology
Experience	18 Years
Location	1411 N Taylor Dr, Sheboygan, Wisconsin
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:

Dr Edward Lawrence Smith graduated from medical school in 2006

NPI Data:

NPI Number: 1962617845
Provider Enumeration Date: 05/13/2007
Last Update Date: 09/15/2016

Medicare PECOS Information:

PECOS PAC ID: 8921277336
Enrollment ID: I20110801000592

Medical Identifiers

Medical identifiers for Dr Edward Lawrence Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962617845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	5101016859 (Michigan)	Secondary
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	55826-21 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holy Family Memorial	Manitowoc, WI	Hospital
St Nicholas Hospital	Sheboygan, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Froedtert Manitowoc Medical Group, Llc	2365836954	114

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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 Edward Lawrence Smith allows following entities to bill medicare on his behalf.

Entity Name	Froedtert Manitowoc Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282

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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 Edward Lawrence 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
Dr Edward Lawrence Smith, DO Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 457-2100	Dr Edward Lawrence Smith, DO 1411 N Taylor Dr, Sheboygan, WI 53081-3043 Ph: (616) 735-3257

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Otolaryngology Doctors in Sheboygan, WI

Dr. John Revelis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1152
Dr. Evan James Cretney, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Drive, Sheboygan, WI 53081 Phone: 920-457-4461
P Perry Phillips, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000

Dr Edward Lawrence Smith, DO - Medicare Otolaryngology in Sheboygan, WI

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

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Research laboratory at the forefront of the science of metabolomics

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Massachusetts makes drug and medical device company payments public

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Widespread SARS-CoV-2 mutation escapes vaccine- and infection-induced CD8 T-cell responses

Massachusetts makes drug and medical device company payments public

Otolaryngology Doctors in Sheboygan, WI