| Blake Smith, | |
|
80 Enoch Blvd, Savannah, TN 38372 | |
| (731) 926-9600 | |
| Not Available |
| Full Name | Blake Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 80 Enoch Blvd, Savannah, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760718282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC1500X | Registered Nurse - Community Health | RN0000161004 (Tennessee) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 24523 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hardin Medical Center | Savannah, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hmc Physician Services | 4981889862 | 15 |
| Entity Name | Hmc Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316246705 PECOS PAC ID: 4981889862 Enrollment ID: O20110420000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Smith, 3285 Oakley Rd, Savannah, TN 38372-3807 Ph: (731) 698-1061 | Blake Smith, 80 Enoch Blvd, Savannah, TN 38372 Ph: (731) 926-9600 |
Abby Elizabeth Jerrolds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Enoch Blvd, Savannah, TN 38372 Phone: 731-925-2300 Fax: 731-925-2157 | |
Shelby Vanfleet, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 Pickwick St, Savannah, TN 38372 Phone: 731-925-2557 | |
Kennedy S Wilkes, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60 Brazelton St Unit 6, Savannah, TN 38372 Phone: 731-438-3090 Fax: 731-256-0757 | |
Mr. Jordan Matthew Clayton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 935 Wayne Rd, Savannah, TN 38372 Phone: 731-926-8000 | |
Elizabeth J Beal, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1860 Wayne Rd, Savannah, TN 38372 Phone: 931-722-3448 Fax: 931-722-9919 | |
Lauren Harbin, F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Riverside, Savannah, TN 38372 Phone: 731-438-3765 Fax: 731-438-3767 | |
Ashley Wallace, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 Jackson St, Savannah, TN 38372 Phone: 731-925-4530 |