Lynette Smith, MD | |
101 Skyline Dr, Russellville, AR 72801-3363 | |
(479) 968-2345 | |
(479) 890-7169 |
Full Name | Lynette Smith |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 101 Skyline Dr, Russellville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134185317 | NPI | - | NPPES |
140148001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E-2411 (Arkansas) | Primary |
Entity Name | St Marys Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
Mailing Address | Practice Location Address |
---|---|
Lynette Smith, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 | Lynette Smith, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 |
Robin L. Kirby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 N Sidney, Russellville, AR 72801 Phone: 479-498-0858 Fax: 479-498-0809 | |
Kristen Michelle Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169 | |
Mr. Nathan Taylor Reynolds, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2322 | |
Rick Wayne Harrison, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169 | |
Dr. Chadwick Jerold Masters, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169 | |
Dr. Howard Madison Orsburn Iv, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169 |