Dezare Joclyn Smith, APRN | |
243 Vincent Ave, Troy, OH 45373-3949 | |
(937) 489-7770 | |
Not Available |
Full Name | Dezare Joclyn Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 243 Vincent Ave, Troy, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659055838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | APRN.CNP.0034026 (Ohio) | Primary |
Entity Name | Cleveland Surgical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831140003 PECOS PAC ID: 3577566371 Enrollment ID: O20060817000037 |
Entity Name | Encore Clinical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184346140 PECOS PAC ID: 5991177313 Enrollment ID: O20230214000351 |
Mailing Address | Practice Location Address |
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Dezare Joclyn Smith, APRN Po Box 2, Troy, OH 45373-0002 Ph: (937) 489-7770 | Dezare Joclyn Smith, APRN 243 Vincent Ave, Troy, OH 45373-3949 Ph: (937) 489-7770 |
Ms. Melanie S Hynes, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 S Stanfield Rd Ste A, Troy, OH 45373 Phone: 937-339-5355 Fax: 937-339-3056 | |
Mrs. Kara Sue Bruskotter, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3130 N County Road 25a, Troy, OH 45373 Phone: 937-638-8176 | |
Mrs. Cindy Fleming, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1149 Experiment Farm Rd, Troy, OH 45373 Phone: 937-540-9920 Fax: 937-202-0213 | |
Mrs. Kaye Marie Sekas, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W Main St Ste 330, Troy, OH 45373 Phone: 937-980-7460 Fax: 937-980-7464 | |
Heidi Sue Riley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1843 W Main St, Troy, OH 45373 Phone: 937-208-4120 Fax: 937-208-4126 | |
Janel Frilling, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 N County Road 25a, Troy, OH 45373 Phone: 937-332-0894 Fax: 937-339-7084 | |
Kristina H O'meara, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 N County Road 25a, Troy, OH 45373 Phone: 937-332-0894 Fax: 937-339-7084 |