WENDY E SMITH MD
NPI 1730239153
Medical Genetics - Clinical Genetics (M.D.) in Portland, ME

NPI Status: Active since January 10, 2007

Contact Information

1577 CONGRESS ST
2ND FLOOR
PORTLAND, ME
ZIP 04102
Phone: (207) 662-1622
Fax: (207) 774-1814

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  • Individual
  • Female
  • Years of Experience 31
  • Medical Genetics
  • Clinical Genetics (M.D.)
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About WENDY SMITH

This page provides the complete NPI Profile along with additional information for Wendy Smith, a provider established in Portland, Maine with a medical specialization in Medical Genetics, focusing in clinical genetics (m.d.) and more than 31 years of experience. She graduated from Michigan State University College Of Human Medicine in 1995. The healthcare provider is registered in the NPI registry with number 1730239153 assigned on January 2007. The practitioner's primary taxonomy code is 207SG0201X with license number MD15492 (ME). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1730239153
Provider Name
WENDY E SMITH MD
Gender
Female
Entity Type
Individual
Location Address
1577 CONGRESS ST 2ND FLOOR PORTLAND, ME 04102
Location Phone
(207) 662-1622
Location Fax
(207) 774-1814
Mailing Address
301 US ROUTE 1 BUILDING C SCARBOROUGH, ME 04074
Mailing Phone
(207) 396-8600
Mailing Fax
(207) 774-1814
Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year
1995
Is Sole Proprietor?
No
Enumeration Date
01-10-2007
Last Update Date
07-25-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medical Genetics Clinical Genetics (M.D.)

Taxonomy Code
207SG0201X
Type
Allopathic & Osteopathic Physicians
License No.
MD15492
License State
ME
Taxonomy Description
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD15492 (ME)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Clear Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO
  • NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MM8978MEDICARE PIN (08)ME 
MM897803MEDICARE PIN (08)ME 
246790099MEDICAID (05)ME 
A32781MEDICARE UPIN (02)ME 
MM897802MEDICARE PIN (08)ME 
30201383MEDICAID (05)NH 

Medicare Participation & PECOS Enrollment Status

Wendy Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Wendy Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7012959257

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050526000913

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Wendy Smith is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MAINE MEDICAL CENTER22 BRAMHALL ST
PORTLAND, ME 04102
(207) 662-0111Acute Care Hospitals

Reviews for WENDY E SMITH MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730239153, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 4 + 3 + 1 + 8 + 1 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1730239153.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
1577 CONGRESS ST, 1ST FLOOR
PORTLAND, ME 04102
Pediatrics (Developmental - Behavioral Pediatrics)
1577 CONGRESS ST, 1ST FLOOR
PORTLAND, ME 04102
Pediatrics (Developmental - Behavioral Pediatrics)
1577 CONGRESS ST, 2ND FLOOR
PORTLAND, ME 04102
Pediatrics (Developmental - Behavioral Pediatrics)
1577 CONGRESS ST, 2ND FLOOR
PORTLAND, ME 04102
Psychologist (Clinical)
1577 CONGRESS ST, 2ND FLOOR
PORTLAND, ME 04102
Pediatrics
1577 CONGRESS ST, 2ND FLOOR
PORTLAND, ME 04102
Medical Genetics (Clinical Genetics (M.D.))
1577 CONGRESS ST, 2ND FLOOR
PORTLAND, ME 04102
Social Worker (Clinical)
1577 CONGRESS ST
PORTLAND, ME 04102
Pediatrics
1577 CONGRESS ST
PORTLAND, ME 04102
Nurse Practitioner (Pediatrics)
1577 CONGRESS ST, 1ST FLOOR
PORTLAND, ME 04102
Pediatrics
1577 CONGRESS ST, 2ND FLOOR
PORTLAND, ME 04102
Pediatrics
1577 CONGRESS ST
PORTLAND, ME 04102
Pediatrics
1577 CONGRESS ST
PORTLAND, ME 04102
Psychologist
1577 CONGRESS ST
PORTLAND, ME 04102
Social Worker (Clinical)
1577 CONGRESS ST, 1ST FLOOR
PORTLAND, ME 04102
Dietitian, Registered
1577 CONGRESS ST
PORTLAND, ME 04102
Pediatrics
1577 CONGRESS ST
PORTLAND, ME 04102
Social Worker (Clinical)
1577 CONGRESS ST, 1ST FLOOR
PORTLAND, ME 04102
Psychologist
1577 CONGRESS ST
PORTLAND, ME 04102
Dietitian, Registered
1577 CONGRESS ST
PORTLAND, ME 04102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730239153, enumerated as an "individual" on January 10, 2007.

The provider is located at 1577 CONGRESS ST 2ND FLOOR PORTLAND, ME 04102 and the phone number is (207) 662-1622.

Medical Genetics with taxonomy code 207SG0201X and a focus in Clinical Genetics (M.D.).

The provider might be accepting Accepts: Ambetter from NH Healthy Families, Anthem Blue. Please consult your insurance carrier or call the provider to verify.

Wendy Smith is affiliated with: MAINE MEDICAL CENTER.