Mrs Lisa M Smith, PAC is a
Physician Assistant - Medical based in Plains, Georgia. Mrs Lisa M Smith is licensed to practice in Georgia (license number 002904) and her current practice location is
107 Main St, Plains, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 824-7757.
NPI number for Mrs Lisa M Smith is 1114916475 and her current mailing address is Po Box 196, Plains, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114916475.
Provider's Profile
| Full Name | Mrs Lisa M Smith |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
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| Location | 107 Main St, Plains, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114916475
- Provider Enumeration Date: 10/19/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Lisa M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114916475 | NPI | - | NPPES |
| 002904 | Other | GA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 002904 (Georgia) | 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. Mrs Lisa M 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 |
|---|
Mrs Lisa M Smith, PAC
Po Box 196,
Plains, GA 31780-0196
Ph: (229) 824-3438 | Mrs Lisa M Smith, PAC
107 Main St,
Plains, GA 31780-5570
Ph: (229) 824-7757 |
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