| Corey Smith, PA-C | |
|
229 Shore Ln, Indian Harbour Beach, FL 32937-4220 | |
| (321) 848-1784 | |
| Not Available |
| Full Name | Corey Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 229 Shore Ln, Indian Harbour Beach, Florida |
| 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 |
|---|---|---|---|
| 1619365095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 9108381 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beyond The Scope Orthopaedics And Sports Medicine | 8820494206 | 3 |
| H2 Rehabilitation Services Of Florida Llc | 3971411851 | 257 |
| Entity Name | Beyond the Scope Orthopaedics and Sports Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699355651 PECOS PAC ID: 8820494206 Enrollment ID: O20210909003615 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Smith, PA-C 229 Shore Ln, Indian Harbour Beach, FL 32937-4220 Ph: (321) 848-1784 | Corey Smith, PA-C 229 Shore Ln, Indian Harbour Beach, FL 32937-4220 Ph: (321) 848-1784 |
Frederick Scott Biggs, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2254 Highway A1a, Indian Harbour Beach, FL 32937 Phone: 321-777-2273 Fax: 321-779-7425 |
Nicole Kristine Trio, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7 Indian Harbour Ct, Indian Harbour Beach, FL 32937 Phone: 321-271-1249 |
Kristen Hoffower, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 890 E Eau Gallie Blvd, Indian Harbour Beach, FL 32937 Phone: 321-459-4855 |
Nicholle C Rothengass, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2254 Highway A1a, Indian Harbour Beach, FL 32937 Phone: 813-786-2691 Fax: 321-779-7425 |
Kimberly J Prough, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2254 Highway A1a, Indian Harbour Beach, FL 32937 Phone: 321-777-2273 Fax: 321-779-7425 |