Emma Wilkes Smith, APRN, PMHNP | |
3001 Bee Caves Rd Ste 220, Rollingwood, TX 78746-5590 | |
(512) 777-2591 | |
Not Available |
Full Name | Emma Wilkes Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 3001 Bee Caves Rd Ste 220, Rollingwood, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205466356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 825479 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1094093 (Texas) | Primary |
Entity Name | Kotel Atx |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568055192 PECOS PAC ID: 9537578810 Enrollment ID: O20210518000994 |
Mailing Address | Practice Location Address |
---|---|
Emma Wilkes Smith, APRN, PMHNP 2107 Wilson St, Austin, TX 78704-5140 Ph: (512) 200-3895 | Emma Wilkes Smith, APRN, PMHNP 3001 Bee Caves Rd Ste 220, Rollingwood, TX 78746-5590 Ph: (512) 777-2591 |
Jonathan William Prokop, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 Bee Caves Rd Ste 203, Rollingwood, TX 78746 Phone: 512-328-7222 | |
Lejla Medic, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2720 Bee Caves Rd Ste 211, Rollingwood, TX 78746 Phone: 512-270-1105 Fax: 512-631-0050 | |
Jellirica Peters, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Bee Caves Rd Ste 220, Rollingwood, TX 78746 Phone: 512-777-2591 |