Stacey Lynn Smith, MD | |
3985 Shady Pointe Row, Greenwood, IN 46143-8479 | |
(317) 300-1941 | |
Not Available |
Full Name | Stacey Lynn Smith |
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Gender | Female |
Speciality | Pediatrics |
Location | 3985 Shady Pointe Row, Greenwood, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356486682 | NPI | - | NPPES |
200918800 | Medicaid | IN | |
1102425183 | Other | IN | ANTHEM PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R1083 (Kentucky) | Secondary |
208000000X | Pediatrics | 01064927A (Indiana) | Primary |
Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
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Stacey Lynn Smith, MD 3985 Shady Pointe Row, Greenwood, IN 46143-8479 Ph: (317) 300-1941 | Stacey Lynn Smith, MD 3985 Shady Pointe Row, Greenwood, IN 46143-8479 Ph: (317) 300-1941 |
Dr. Melissa G Collier, MD, MPH, FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 65 Airport Pkwy, Ste 114, Greenwood, IN 46143 Phone: 317-807-0268 | |
Dr. James A. Shmalo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 373 Meridian Parke Ln, Suite C-1, Greenwood, IN 46142 Phone: 317-882-0136 Fax: 317-882-3123 | |
Dr. Jennifer Lynn Havener, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 | |
Dr. Mary Elise Hodson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 Averitt Rd, Greenwood, IN 46143 Phone: 317-865-3115 Fax: 317-885-1429 | |
Dr. Megan Engle Ciaccio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 S Us 31, Greenwood, IN 46143 Phone: 317-736-5515 Fax: 317-738-0198 | |
Melissa Marie Michels, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 | |
Kathryn Elaine Kasyjanski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd, Suite B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 |