Ms Jonnelle D Smith, PA is a medicare enrolled "Physician Assistant" in Carrollton, Illinois. Her current practice location is
523 S Main St, Carrollton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 942-3326.
Ms Jonnelle D Smith is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487877130.
Provider's Profile
Full Name | Ms Jonnelle D Smith |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 523 S Main St, Carrollton, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487877130
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 01/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 8123184777
- Enrollment ID: I20100327000452
Medical Identifiers
Medical identifiers for Ms Jonnelle D Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487877130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
207P00000X | Emergency Medicine | 085 002986 (Illinois) | Secondary |
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. Ms Jonnelle D Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jonnelle D Smith, PA 611 W. Park St, Fapc, Urbana, IL 61801 Ph: () - | Ms Jonnelle D Smith, PA 523 S Main St, Carrollton, IL 62016-1256 Ph: (217) 942-3326 |
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