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Verta Iola Smith

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as VERTA SMITH.

Based on the most recent information from CMS, provider Verta Iola Smith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1124058268
Provider Type
Individual
Full Name
Smith, Verta Iola
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/4/2006
Last Updated
3/22/2012

Contact Information

Practice Location

212 E 106th St, New York, NY 10029-4007

(212) 360-2600

(212) 360-2644

Mailing Location

1560 Pelham Pkwy S, 3l, Bronx, NY 10461-1114

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 198954 New York

Provider Identifiers

ID	Description	Issuer
ID 00355151	Description Medicaid	Issuer Unlisted New York

Verta Iola Smith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Lopez-Santini, Jaime F

Rosen, Elisabeth L

Brechtl, John Robert

Towne, Sara Blythe

Escobar, Christian

Zhang, Meng

Petrin, Christine

Lewis, Frederick

Savasta, Cristina

Reese, Jennifer