| Mariah Smith, DO | |
|
5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | |
| (574) 335-5000 | |
| Not Available |
| Full Name | Mariah Smith |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 5215 Holy Cross Pkwy, Mishawaka, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194392944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 02007736A (Indiana) | Primary |
| Entity Name | Elite Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932155371 PECOS PAC ID: 8022087642 Enrollment ID: O20040930000456 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Smith, DO 600 East Blvd, Elkhart, IN 46514-2483 Ph: () - | Mariah Smith, DO 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: (574) 335-5000 |
Dr. Christy Lynn Annis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Kathleen Long, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Dr. Eugene Huang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E Day Rd, Mishawaka, IN 46545 Phone: 574-204-7243 Fax: 574-226-0795 | |
Jonathan Neil Shenk, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Kurtis Dejong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 | |
Mark Lawrence Kricheff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545 Phone: 574-335-5000 |