Mrs Autumn Blair Smith, CRNP | |
1011 W Baltimore Pike, Suite 007, West Grove, PA 19390-9446 | |
(610) 869-0953 | |
(610) 869-5824 |
Full Name | Mrs Autumn Blair Smith |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 1011 W Baltimore Pike, West Grove, Pennsylvania |
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 |
---|---|---|---|
1841409919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | LZ0000111 (Delaware) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | SP010920 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-county Hospitalists Llc | 4385872290 | 8 |
Entity Name | Jennersville Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801031562 PECOS PAC ID: 6709943756 Enrollment ID: O20090319000250 |
Entity Name | Tri-county Hospitalists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730518564 PECOS PAC ID: 4385872290 Enrollment ID: O20140122000447 |
Mailing Address | Practice Location Address |
---|---|
Mrs Autumn Blair Smith, CRNP 1011 W Baltimore Pike, Suite 007, West Grove, PA 19390-9446 Ph: (610) 869-0953 | Mrs Autumn Blair Smith, CRNP 1011 W Baltimore Pike, Suite 007, West Grove, PA 19390-9446 Ph: (610) 869-0953 |
Atley Aaron, PNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Vineyard Way, West Grove, PA 19390 Phone: 410-259-4428 | |
Catherine Domanska Elliott, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Vineyard Way Ste 200, West Grove, PA 19390 Phone: 610-444-7550 Fax: 610-444-4656 | |
Mrs. Lisa Marie Reece, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Woodview Rd Ste 100, West Grove, PA 19390 Phone: 610-345-1900 | |
Mrs. Mary Dodson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Nottingham Dr, West Grove, PA 19390 Phone: 302-740-5396 Fax: 610-869-2643 | |
Dr. Stefanie Nelson Tyler, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Vineyard Way Ste 200, West Grove, PA 19390 Phone: 610-444-7550 Fax: 610-444-4656 | |
Nicole Diane Rickard, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 W Baltimore Pike Ste 304, West Grove, PA 19390 Phone: 610-869-1278 Fax: 610-869-2312 | |
Mrs. Pauline S Cousineau, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 W Baltimore Pike, Suite 304, West Grove, PA 19390 Phone: 610-869-1278 |