| Crystal Smedley, | |
|
2400 Harbor Blvd Ste 21, Port Charlotte, FL 33952-5038 | |
| (941) 625-6992 | |
| Not Available |
| Full Name | Crystal Smedley |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 10 Years |
| Location | 2400 Harbor Blvd Ste 21, Port Charlotte, Florida |
| 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 |
|---|---|---|---|
| 1720469596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 16863 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
| Bayfront Health Port Charlotte | Port charlotte, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Precision Healthcare Specialists, Llc | 6103284955 | 80 |
| Entity Name | Genesiscare Usa Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
| Entity Name | Precision Healthcare Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457050106 PECOS PAC ID: 6103284955 Enrollment ID: O20230626003606 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Smedley, 21260 Olean Blvd Ste 202a, Port Charlotte, FL 33952-6742 Ph: () - | Crystal Smedley, 2400 Harbor Blvd Ste 21, Port Charlotte, FL 33952-5038 Ph: (941) 625-6992 |
Marc A Melser, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3410 Tamiami Trl, Suite 4, Port Charlotte, FL 33952 Phone: 941-235-7281 Fax: 941-235-0463 | |
Jens Christian Carlsen, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 Harbor Blvd, Suite 201a, Port Charlotte, FL 33952 Phone: 941-421-0756 Fax: 941-866-6809 | |
Dr. Gary Lee Berger, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2400 Harbor Blvd, Suite 21, Port Charlotte, FL 33952 Phone: 941-625-6992 Fax: 941-625-7238 |