| Smart Medi Care Health Services Inc | |
|
1455 Poplar Ave Memphis TN 38104-2934 | |
| (972) 891-0221 | |
| Not Available |
| Full Name | Smart Medi Care Health Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1455 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | John Moore (PRESIDENT) |
| Authorized Official Contact | 9728910221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Medi Care Health Services Inc 3317 Finley Rd Ste 170 Irving TX 75062-8722 Ph: (972) 891-0221 | Smart Medi Care Health Services Inc 1455 Poplar Ave Memphis TN 38104-2934 Ph: (972) 891-0221 |
| NPI Number | 1114470887 |
|---|---|
| Provider Enumeration Date | 07/29/2016 |
| Last Update Date | 06/06/2017 |
| Medicare PECOS PAC ID | 1052563160 |
|---|---|
| Medicare Enrollment ID | O20161129000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114470887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Eric L Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134233745 PECOS PAC ID: 9335135854 Enrollment ID: I20040421001077 |
| Provider Name | Usha B Swamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235247958 PECOS PAC ID: 6002916582 Enrollment ID: I20070712000659 |
| Provider Name | Tanci Burrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851482921 PECOS PAC ID: 4486722618 Enrollment ID: I20081001000319 |
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