Shelly Smith, is a
Licensed Practical Nurse based in Petoskey, Michigan. Shelly Smith is licensed to practice in Michigan (license number 4703111792) and her current practice location is
912 Petoskey St, Petoskey, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 881-0266.
NPI number for Shelly Smith is 1437504222 and her current mailing address is 912 Petoskey St, Petoskey, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437504222.
Provider's Profile
Full Name | Shelly Smith |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 912 Petoskey St, Petoskey, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437504222
- Provider Enumeration Date: 04/28/2016
- Last Update Date: 04/28/2016
Medical Identifiers
Medical identifiers for Shelly Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437504222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703111792 (Michigan) | 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. Shelly 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 |
Shelly Smith, 912 Petoskey St, Petoskey, MI 49770-2937 Ph: (231) 881-0266 | Shelly Smith, 912 Petoskey St, Petoskey, MI 49770-2937 Ph: (231) 881-0266 |
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