| Mrs Kelli Pugh Smith, AUD | |
|
901 Enterprise Pkwy Ste 300, Hampton, VA 23666-6249 | |
| (757) 825-2500 | |
| (757) 825-2521 |
| Full Name | Mrs Kelli Pugh Smith |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 21 Years |
| Location | 901 Enterprise Pkwy Ste 300, Hampton, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326035148 | NPI | - | NPPES |
| 236186432A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AUD003627 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hampton Roads Otolaryngology Associates Pllc | 7012820848 | 20 |
| Provider Name | Hampton Roads Otolaryngology Associates Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700939980 PECOS PAC ID: 7012820848 Enrollment ID: O20070410000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelli Pugh Smith, AUD 901 Enterprise Pkwy, Ste 300, Hampton, VA 23666-6249 Ph: (757) 825-2500 | Mrs Kelli Pugh Smith, AUD 901 Enterprise Pkwy Ste 300, Hampton, VA 23666-6249 Ph: (757) 825-2500 |
Dr. Kathryn Sprinkle Trolenberg, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-599-3618 | |
Brooke Allison Puckett, M.ED. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 | |
Miss Natalie Rose Laneve, M.ED. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 | |
Shay Maria Johnson, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 | |
Dr. Coral Del Mar Vazquez Minondo, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 | |
Nova Jayde Weaver, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 |