| Ms Pennie Lowanda Smith, PA | |
|
205 N Main St, Harrisburg, IL 62946-1256 | |
| (618) 253-8450 | |
| (618) 253-8454 |
| Full Name | Ms Pennie Lowanda Smith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 205 N Main St, Harrisburg, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194732271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085001576 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Pennie Lowanda Smith, PA Po Box 3008, Carbondale, IL 62902-3008 Ph: (618) 734-4400 | Ms Pennie Lowanda Smith, PA 205 N Main St, Harrisburg, IL 62946-1256 Ph: (618) 253-8450 |
Gabriel A Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-351-4859 | |
Kelly L Phelps, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540 | |
Ms. Elizabeth Ann Bebout, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 205 N Main St, Harrisburg Medical Clinic, Harrisburg, IL 62946 Phone: 618-253-8450 Fax: 618-253-8454 | |
Ms. Leanne H Deneal, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 28 Veteran's Drive, Harrisburg, IL 62946 Phone: 618-993-0404 Fax: 618-993-1717 |