| Abigail Smith, | |
|
808 Walnut St, Racine, OH 45771-5004 | |
| (740) 418-3833 | |
| Not Available |
| Full Name | Abigail Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 808 Walnut St, Racine, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720860620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.0035168 (Ohio) | Primary |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Smith, 808 Walnut St, Racine, OH 45771-5004 Ph: (740) 418-3833 | Abigail Smith, 808 Walnut St, Racine, OH 45771-5004 Ph: (740) 418-3833 |
Junetta A Maynard, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Elm St, Racine, OH 45771 Phone: 740-949-2348 Fax: 740-949-2536 |
Mr. Stephen Lavalley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 5th St, Racine, OH 45771 Phone: 740-949-2683 Fax: 740-949-2462 |
Kari Lorain Arnold, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43621 Forest Run Rd, Racine, OH 45771 Phone: 740-508-1405 |