Erica Kellyn Smith, PA-C, ATC is a
Physician Assistant physician based in Vicksburg, Mississippi. Erica Kellyn Smith is licensed to practice in Mississippi (license number PA00777) and her current practice location is 2100 Highway 61 N, Vicksburg, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 883-5000.
NPI number for Erica Kellyn Smith is 1477013456 and her current mailing address is 4 Glenwood Cir, Vicksburg, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477013456.
Physician's Profile
Full Name | Erica Kellyn Smith |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 2100 Highway 61 N, Vicksburg, Mississippi |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477013456
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 02/20/2024
Medical Identifiers
Medical identifiers for Erica Kellyn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477013456 | NPI | - | NPPES |
NA | Other | | NA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | PA00777 (Mississippi) | Secondary |
363A00000X | Physician Assistant | PA00777 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Kellyn Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Erica Kellyn Smith, PA-C, ATC 4 Glenwood Cir, Vicksburg, MS 39180-3942 Ph: (601) 540-4936 | Erica Kellyn Smith, PA-C, ATC 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 |
Reviews and Comments