| Ms Maryellen Warro Smith, PA | |
|
5414 S Broadway Ave, Tyler, TX 75703-1335 | |
| (903) 581-1601 | |
| Not Available |
| Full Name | Ms Maryellen Warro Smith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 5414 S Broadway Ave, Tyler, Texas |
| 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 |
|---|---|---|---|
| 1275648834 | NPI | - | NPPES |
| 75-2616977-001 | Other | TX | TRICARE |
| 8544ND | Other | TX | BCBS |
| 75-1976930-005 | Other | TX | TRICARE |
| 75-2616977-028 | Other | TX | TRICARE |
| 8547ND | Other | TX | BCBS |
| 337319301 | Medicaid | TX | |
| 75-0818167-048 | Other | TX | TRICARE |
| 75-0818167-044 | Other | TX | TRICARE |
| 75-0818167-015 | Other | TX | TRICARE |
| 75-0818167-022 | Other | TX | TRICARE |
| 8545ND | Other | TX | BCBS |
| 337319303 | Medicaid | TX | |
| 75-2616977-002 | Other | TX | TRICARE |
| 8546ND | Other | TX | BCBS |
| 337319302 | Medicaid | TX | |
| 337319304 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA04930 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Homecare | Tyler, TX | Home health agency |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1217 |
| Mother Frances Hospital Regional Health Care Center | 9234025636 | 119 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Maryellen Warro Smith, PA 1905 S Donnybrook Ave, Tyler, TX 75701-4236 Ph: (903) 597-3140 | Ms Maryellen Warro Smith, PA 5414 S Broadway Ave, Tyler, TX 75703-1335 Ph: (903) 581-1601 |
David Robert Dewalch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701 Phone: 903-596-3488 | |
Mrs. Dawn Elise O'neal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 410, Tyler, TX 75701 Phone: 903-531-8950 | |
Charles Crowell Pierce, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave Ste 305, Tyler, TX 75701 Phone: 903-606-1173 | |
Jordan Fayth Cooke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8101 S Broadway Ave, Tyler, TX 75703 Phone: 903-939-7500 Fax: 903-939-7728 | |
Mrs. Megan Renee Followwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5777 New Copeland Rd, Tyler, TX 75703 Phone: 903-561-9255 | |
Miss Natalie Shea Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1020 E Idel St, Tyler, TX 75701 Phone: 903-535-2902 Fax: 903-535-9217 | |
Amber Blissett, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1350 E Richards St, Tyler, TX 75702 Phone: 903-531-9455 |