| Dr Phillip Wayne Smith, DNP | |
|
450 S Willard St Ste 103, Cottonwood, AZ 86326-6744 | |
| (928) 634-9573 | |
| (928) 634-0135 |
| Full Name | Dr Phillip Wayne Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 450 S Willard St Ste 103, Cottonwood, Arizona |
| 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 |
|---|---|---|---|
| 1326874074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 337695 (Arizona) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 8991411-4405 (Utah) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prescott Healthcare Solutions Llc | 4385940295 | 199 |
| Entity Name | Prescott Healthcare Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821454505 PECOS PAC ID: 4385940295 Enrollment ID: O20160302001795 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip Wayne Smith, DNP 450 S Willard St Ste 103, Cottonwood, AZ 86326-6744 Ph: (928) 634-9573 | Dr Phillip Wayne Smith, DNP 450 S Willard St Ste 103, Cottonwood, AZ 86326-6744 Ph: (928) 634-9573 |
Mr. Gerard H Mohan, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 S Willard St, Suite 115, Cottonwood, AZ 86326 Phone: 928-634-5551 Fax: 928-634-5604 |
Ms. Melissa Lawrence, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 877-634-7333 Fax: 866-984-3891 |
Alice Meyer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Cove Pkwy, Cottonwood, AZ 86326 Phone: 928-649-3003 Fax: 928-649-3030 |
Mrs. Julie Marie Sturgeon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St Ste 201, Cottonwood, AZ 86326 Phone: 928-634-5551 |
Tish Ann Arwine, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6172 Fax: 928-639-6682 |
Susan Mary Albright, R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 S Candy Ln, Suite 1a, Cottonwood, AZ 86326 Phone: 928-649-1389 |
Donna Louise Bozzolo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 S Willard St, Suite 120, Cottonwood, AZ 86326 Phone: 928-634-2574 Fax: 928-634-2841 |