Loretta Smith, APN | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 556-7717 | |
(573) 556-7723 |
Full Name | Loretta Smith |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 29 Years |
Location | 1241 W Stadium Blvd, Jefferson City, 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 |
---|---|---|---|
1720029838 | NPI | - | NPPES |
P00192762 | Other | MO | MEDICARE RAILROAD |
423931724 | Medicaid | MO | |
CD6059 | Other | MO | RAILROAD GROUP |
437082 | Other | MO | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 152411 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | R 103113-3 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Clinics | 7113830142 | 658 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Loretta Smith, APN Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 556-7717 | Loretta Smith, APN 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 556-7717 |
Jeremey James Laflamme, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 | |
Ashlee Kathleen Parkes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-634-4878 Fax: 573-634-4723 | |
Judith A. Wienke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-634-7423 | |
Jill A. Kliethermes, APRN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5747 Fax: 573-635-5264 | |
Sara J Marso, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2511 W Edgewood Dr Ste D, Jefferson City, MO 65109 Phone: 573-761-0304 Fax: 573-635-0726 | |
Taran Elyse Burgess Murphy, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 | |
Rachel Wieberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 |