| Harriett Williemae Smith-mckinney, PA-C | |
|
10762 Se Us Highway 441, Belleview, FL 34420-3805 | |
| (352) 347-5225 | |
| (352) 347-1073 |
| Full Name | Harriett Williemae Smith-mckinney |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 10762 Se Us Highway 441, Belleview, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275597320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA 2621 (Florida) | Primary |
| Entity Name | Express Care of Belleview, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952357519 PECOS PAC ID: 6709794332 Enrollment ID: O20040209000908 |
| Entity Name | Lifestream Behavioral Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902802002 PECOS PAC ID: 7012992720 Enrollment ID: O20040618000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Harriett Williemae Smith-mckinney, PA-C 2500 Citrus Blvd, Leesburg, FL 34748-3063 Ph: (352) 347-5225 | Harriett Williemae Smith-mckinney, PA-C 10762 Se Us Highway 441, Belleview, FL 34420-3805 Ph: (352) 347-5225 |
Mrs. Mukti B Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5051 Se 110th St, Belleview, FL 34420 Phone: 352-245-9157 Fax: 352-245-3031 |
Daphne R Charles, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9973 Se 58th Ave Unit 104, Belleview, FL 34420 Phone: 352-693-4777 |
Mr. Michael Crimi Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10762 Se Us Highway 441, Belleview, FL 34420 Phone: 352-347-5225 Fax: 325-347-7977 |
Susan E. Bonenclark, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5051 Se 110th St, Belleview, FL 34420 Phone: 352-674-1730 Fax: 352-674-8930 |
Robert Arthur Hoffman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4720 Se 120th St, Belleview, FL 34420 Phone: 352-322-3159 |
Mr. Paul M. Kilpatrick, P.A.C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12301 Se Us Highway 441 Ste C, Belleview, FL 34420 Phone: 352-404-4288 Fax: 833-449-3827 |