Angela R Smith, NP-CO | |
5265 S Business Highway 71 Ste J&i, Pineville, MO 64856-8505 | |
(417) 223-4290 | |
(417) 223-4299 |
Full Name | Angela R Smith |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 5265 S Business Highway 71 Ste J&i, Pineville, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356817589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2018036932 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sgoh Acquisition Inc | 5092616276 | 72 |
Entity Name | Sgoh Acquisition Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
Mailing Address | Practice Location Address |
---|---|
Angela R Smith, NP-CO Po Box 265, Pineville, MO 64856-0265 Ph: (417) 223-4290 | Angela R Smith, NP-CO 5265 S Business Highway 71 Ste J&i, Pineville, MO 64856-8505 Ph: (417) 223-4290 |
Judith G Lewallen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Jessie James Blvd, Pineville, MO 64856 Phone: 417-223-7050 Fax: 417-223-7055 | |
Teresa N Randolph, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Stage Coach Dr, Pineville, MO 64856 Phone: 479-790-8505 Fax: 479-587-1366 | |
Jill Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5265 S Business Highway 71 Ste I&j, Pineville, MO 64856 Phone: 417-223-4290 Fax: 417-223-4299 |