| Hannah Smiley, | |
|
2350 N Lake Dr Ste 501, Milwaukee, WI 53211-4528 | |
| (414) 226-4020 | |
| Not Available |
| Full Name | Hannah Smiley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 2350 N Lake Dr Ste 501, Milwaukee, Wisconsin |
| 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 |
|---|---|---|---|
| 1619869641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8495-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee Ca | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Madison Medical Affiliates Inc | 5991606337 | 86 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | Madison Medical Affiliates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588695746 PECOS PAC ID: 5991606337 Enrollment ID: O20040119000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Smiley, 2350 N Lake Dr, Milwaukee, WI 53211-4528 Ph: Not Available | Hannah Smiley, 2350 N Lake Dr Ste 501, Milwaukee, WI 53211-4528 Ph: (414) 226-4020 |
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