| Smart Health And Wellness, Pllc | |
|
603 N Logan Ave Danville IL 61832-4320 | |
| (217) 280-8502 | |
| Not Available |
| Full Name | Smart Health And Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 603 N Logan Ave, Danville, Illinois |
| Authorized Official Name and Position | Kaitlyn Smart (OWNER) |
| Authorized Official Contact | 2172808502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Health And Wellness, Pllc 603 N Logan Ave Danville IL 61832-4320 Ph: (217) 280-8502 | Smart Health And Wellness, Pllc 603 N Logan Ave Danville IL 61832-4320 Ph: (217) 280-8502 |
| NPI Number | 1558029504 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2021 |
| Medicare PECOS PAC ID | 6800280702 |
|---|---|
| Medicare Enrollment ID | O20220217002668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558029504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Monica L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720190010 PECOS PAC ID: 4880863604 Enrollment ID: I20110812000340 |
| Provider Name | Selena D Mccalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770071227 PECOS PAC ID: 0547519886 Enrollment ID: I20180821001002 |
| Provider Name | Kaitlyn A Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134680622 PECOS PAC ID: 8325380249 Enrollment ID: I20190425000408 |
| Provider Name | Olivia Ann Walder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407543838 PECOS PAC ID: 6406212547 Enrollment ID: I20230516002668 |
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