| Shannon Smith, OTR/L | |
|
130 Hospital Rd Ste 103, Prince Frederick, MD 20678-4029 | |
| (410) 535-8180 | |
| Not Available |
| Full Name | Shannon Smith |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 130 Hospital Rd Ste 103, Prince Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922708973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 09918 (Maryland) | Primary |
| 225XP0200X | Occupational Therapist - Pediatrics | 09918 (Maryland) | Secondary |
| Provider Name | Calverthealth Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Hospital Department(s) |
| Provider Identifiers | NPI Number: 1558718668 PECOS PAC ID: 2668370065 Enrollment ID: O20161221001977 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Smith, OTR/L 130 Hospital Rd Ste 103, Prince Frederick, MD 20678-4029 Ph: (410) 535-8180 | Shannon Smith, OTR/L 130 Hospital Rd Ste 103, Prince Frederick, MD 20678-4029 Ph: (410) 535-8180 |
Elena Mendez-hutchinson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Rd, Suite 100, Prince Frederick, MD 20678 Phone: 410-535-8180 Fax: 410-535-8325 | |
Mrs. Jill Rippons Hartwell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Dares Beach Rd, Prince Frederick, MD 20678 Phone: 443-550-8345 | |
Debra Shatrowsky, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Dares Beach Rd, Prince Frederick, MD 20678 Phone: 443-550-8345 | |
Jacqueline Smith, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Hospital Rd, Suite 100, Prince Frederick, MD 20678 Phone: 410-414-4846 Fax: 410-414-4810 | |
Caroline Elizabeth Clark, OTD,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Rd Ste 103, Prince Frederick, MD 20678 Phone: 410-535-8180 Fax: 410-535-8325 | |
Brittany Karynne Russell Martin, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Dares Beach Rd, Prince Frederick, MD 20678 Phone: 443-550-8000 | |
Chelsea Jane Walsh, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Calvert County Public Schools, 1305 Dares Beach Road, Prince Frederick, MD 02678 Phone: 443-550-8000 |