| Jennifer Christine Smith, MD | |
| 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | |
| (618) 234-2120 | |
| Not Available | 
| Full Name | Jennifer Christine Smith | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine | 
| Location | 1 Saint Elizabeth Blvd, O Fallon, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396366811 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125075844 (Illinois) | Secondary | 
| 207P00000X | Emergency Medicine | 036163996 (Illinois) | Primary | 
| Entity Name | Cepamerica Illinois Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer Christine Smith, MD Po Box 19679, Springfield, IL 62794-9679 Ph: (217) 545-3518 | Jennifer Christine Smith, MD 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (618) 234-2120 | 
| Dr. Arthur Sippo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 | |
| Maria Galanos,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 | |
| Dr. Jordan Kristopher Romick, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-5480 Fax: 618-222-4792 | |
| Vicky Hwang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 E Highway 50, O Fallon, IL 62269 Phone: 618-624-3368 | |
| Scott R. Roustio, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8422 Braeswood Estates Dr, O Fallon, IL 62269 Phone: 618-624-0091 | |
| Dr. Faron Fox, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 | |
| Brian Litland,  Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 |