Tracie D Smith, NP | |
100 Omni Dr, Suite B, Seneca, SC 29672-9448 | |
(864) 482-2350 | |
(864) 482-2355 |
Full Name | Tracie D Smith |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 100 Omni Dr, Seneca, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053381319 | NPI | - | NPPES |
GP4697 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APN2677 (South Carolina) | Primary |
Entity Name | St Francis Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457057622 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 |
Entity Name | Bon Secours Medical Group Greenville Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070 |
Entity Name | Atreus Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154034080 PECOS PAC ID: 7315310976 Enrollment ID: O20230301000955 |
Mailing Address | Practice Location Address |
---|---|
Tracie D Smith, NP 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Tracie D Smith, NP 100 Omni Dr, Suite B, Seneca, SC 29672-9448 Ph: (864) 482-2350 |
Elise Barbara Babineau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Keowee School Rd, Seneca, SC 29672 Phone: 864-884-7129 Fax: 864-882-7240 | |
Carol Meltzer Beckenhauer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
Shana M Collins-smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12016 N Radio Station Rd, Seneca, SC 29678 Phone: 864-882-6141 Fax: 864-882-6680 | |
Adam Christopher Campbell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10630 Clemson Blvd Ste 100, Seneca, SC 29678 Phone: 864-482-6000 | |
Mrs. Jessica Ann Mullis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 263 Stone Pond Way, Seneca, SC 29678 Phone: 803-810-7054 | |
Vanessa Anne Smith, A-GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Keowee School Rd, Seneca, SC 29672 Phone: 864-885-7129 Fax: 864-882-7240 |