| Kimberly Rouse Smith, MD | |
|
628 E 12th St, Washington, NC 27889-3409 | |
| (252) 975-4319 | |
| (252) 948-4826 |
| Full Name | Kimberly Rouse Smith |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 628 E 12th St, Washington, North Carolina |
| 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 |
|---|---|---|---|
| 1225265366 | NPI | - | NPPES |
| 1225265366 | Medicaid | NC | |
| 179U4 | Other | NC | BCBSNC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2013-01261 (North Carolina) | Primary |
| 207P00000X | Emergency Medicine | 45421 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Carolina University | 0244143246 | 444 |
| Urgent Care Down East Inc | 5395068332 | 11 |
| Entity Name | East Carolina University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
| Entity Name | East Carolina Health-bertie |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578541660 PECOS PAC ID: 1355251661 Enrollment ID: O20041112000143 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Urgent Care Down East Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154721272 PECOS PAC ID: 5395068332 Enrollment ID: O20141229000010 |
| Entity Name | Vidant Medical Group Affiliates Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437549896 PECOS PAC ID: 5395066138 Enrollment ID: O20150605000882 |
| Entity Name | Jones Lake Emergency Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457913287 PECOS PAC ID: 4587093935 Enrollment ID: O20200406001669 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Rouse Smith, MD Po Box 751069, Charlotte, NC 28275-1069 Ph: () - | Kimberly Rouse Smith, MD 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 975-4319 |
Dr. William Leslie Music, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4319 Fax: 252-975-4185 | |
Lorena Mcconnell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4319 Fax: 252-948-4826 | |
Dr. Daniel Patrick Becak, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4319 Fax: 252-948-4826 | |
Dr. Amy Fuller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4319 Fax: 252-948-4826 | |
Elisabeth Stanger Cook, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 Cowell Farm Rd, Washington, NC 27889 Phone: 252-946-2101 | |
Katherine Ann Moravec, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4319 Fax: 252-948-4826 |