Elaine M Smith, PA in Green Bay, WI - Medicare Physician Assistant

Elaine M Smith, PA is a medicare enrolled "Physician Assistant" in Green Bay, Wisconsin. Her current practice location is 301 Bay Park Sq, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 592-9475.

Elaine M Smith is licensed to practice in Wisconsin (license number 1317) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285684662.

Contact Information

	Elaine M Smith, PA
	301 Bay Park Sq, Green Bay, WI 54304-5104
	(920) 592-9475
	Not Available

Map and Direction

Provider's Profile

Full Name	Elaine M Smith
Gender	Female
Speciality	Physician Assistant
Location	301 Bay Park Sq, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285684662
Provider Enumeration Date: 05/10/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3870540719
Enrollment ID: I20050404000474

Medical Identifiers

Medical identifiers for Elaine M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285684662	NPI	-	NPPES
1317-023	Other	WI	LICENSE
39842400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1317 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elaine M Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elaine M Smith, PA 301 Bay Park Sq, Green Bay, WI 54304-5104 Ph: (920) 592-9475	Elaine M Smith, PA 301 Bay Park Sq, Green Bay, WI 54304-5104 Ph: (920) 592-9475

Reviews and Comments

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Elaine M Smith, PA - Medicare Physician Assistant in Green Bay, WI