Mr John Albert Smith, AGCNS-BC, CMSRN-BC is a
Clinical Nurse Specialist - Medical-surgical based in Wpafb, Ohio. Mr John Albert Smith is licensed to practice in Florida (license number APRN11011913) and his current practice location is
4481 Sugar Maple Dr, Wpafb, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 713-7526.
NPI number for Mr John Albert Smith is 1326781774 and his current mailing address is 2706 Oak Trce, Beavercreek, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326781774.
Provider's Profile
| Full Name | Mr John Albert Smith |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Medical-surgical |
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| Location | 4481 Sugar Maple Dr, Wpafb, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326781774
- Provider Enumeration Date: 04/14/2022
- Last Update Date: 04/14/2022
Medical Identifiers
Medical identifiers for Mr John Albert Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326781774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | APRN11011913 (Florida) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | APRN11011913 (Florida) | Secondary |
| 364SM0705X | Clinical Nurse Specialist - Medical-surgical | APRN11011913 (Florida) | 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. Mr John Albert Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr John Albert Smith, AGCNS-BC, CMSRN-BC
2706 Oak Trce,
Beavercreek, OH 45431-8572
Ph: (850) 376-7011 | Mr John Albert Smith, AGCNS-BC, CMSRN-BC
4481 Sugar Maple Dr,
Wpafb, OH 45433-5536
Ph: (937) 713-7526 |
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