Jennifer Marie Smith, DO | |
3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | |
(210) 916-5545 | |
(210) 916-7161 |
Full Name | Jennifer Marie Smith |
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Gender | Female |
Speciality | General Practice |
Location | 3851 Roger Brooke Dr, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497071005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 05-41482 (Kansas) | Primary |
Entity Name | Signify Health Medical Associates Of Kansas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780261701 PECOS PAC ID: 8628487998 Enrollment ID: O20210518000551 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Marie Smith, DO 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 Ph: (210) 916-5545 | Jennifer Marie Smith, DO 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 Ph: (210) 916-5545 |
Kole Holland Spaulding, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Ewell Maydell Hollis Iii, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-5586 | |
Dr. Patrick John Matthews, D.O General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Graduate Medical Education, Fort Sam Houston, TX 78234 Phone: 210-916-8666 | |
Kelley Marie Sonney, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3160 | |
Kevin Lee, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8666 | |
Elizabeth Koslow, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Thomas Mitchell, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0439 |