| Chanel Smith, FNP-C, PMHNP-C | |
|
305 N Vine St Unit 100c, New Lenox, IL 60451-1652 | |
| (331) 688-9793 | |
| Not Available |
| Full Name | Chanel Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 305 N Vine St Unit 100c, New Lenox, Illinois |
| 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 |
|---|---|---|---|
| 1245928589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277004312 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277.004312 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Medical Center | Kankakee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Post Acute Medical Pllc | 5193156115 | 433 |
| Riverside Health System | 3274434717 | 202 |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Entity Name | First Care Family Clinic SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992092753 PECOS PAC ID: 8820263999 Enrollment ID: O20111219000880 |
| Entity Name | Post Acute Medical PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
| Entity Name | Altea Medical Illinois PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447039227 PECOS PAC ID: 5799129730 Enrollment ID: O20240219001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanel Smith, FNP-C, PMHNP-C 305 N Vine St Unit 100c, New Lenox, IL 60451-1652 Ph: (331) 688-9793 | Chanel Smith, FNP-C, PMHNP-C 305 N Vine St Unit 100c, New Lenox, IL 60451-1652 Ph: (331) 688-9793 |
Chibuzo Lasisi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 N Vine St Unit 100a, New Lenox, IL 60451 Phone: 815-435-4055 |
Adanna Okolie, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Doxbury Ln, New Lenox, IL 60451 Phone: 708-271-3537 |
Sarah Cupp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Nelson Rd, New Lenox, IL 60451 Phone: 866-389-2727 |
Corinne Ladan Shaw, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1890 Silver Cross Blvd Ste 370, New Lenox, IL 60451 Phone: 815-717-8727 |
Bethany Wolf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Nelson Rd, New Lenox, IL 60451 Phone: 815-557-1897 |
Julia Grace Bania, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1890 Silver Cross Blvd, #210, New Lenox, IL 60451 Phone: 815-463-3000 |
Mrs. Sara Milano, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-7097 |