Mrs Jennifer Renault Smith, CRNA | |
830 S Buncombe Rd, Greer, SC 29650-2400 | |
(864) 797-8000 | |
Not Available |
Full Name | Mrs Jennifer Renault Smith |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 830 S Buncombe Rd, Greer, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366400871 | NPI | - | NPPES |
Y3570X | Other | FL | MEDICARE--MCAG |
1366400871 | Other | FL | RAILROAD MEDICARE NUMBER |
G3844 | Other | FL | BCBS |
Y3570 | Other | FL | FL BXBS |
309089200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP790362 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3303 (South Carolina) | Primary |
Entity Name | Greenville Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Entity Name | Prisma Health-upstate |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Renault Smith, CRNA 1 Independence Pt, Ste 212, Greenville, SC 29615-4545 Ph: (864) 797-6307 | Mrs Jennifer Renault Smith, CRNA 830 S Buncombe Rd, Greer, SC 29650-2400 Ph: (864) 797-8000 |
Taylor Nanney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Westmoreland Rd, Greer, SC 29651 Phone: 864-530-6000 | |
Staci Sinex Armocida, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 250 Westmoreland Rd, Greer, SC 29651 Phone: 864-530-2108 | |
David Allen Melson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Westmoreland Rd, Greer, SC 29651 Phone: 864-530-2108 |