| Heather Smith, PMHNP | |
|
1190 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | |
| (386) 206-8069 | |
| (386) 206-8069 |
| Full Name | Heather Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1190 Pelican Bay Dr, Daytona Beach, Florida |
| 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 |
|---|---|---|---|
| 1376384818 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care Llc | 3173955671 | 197 |
| Mercy Health Physicians Springfield Specialty Care Llc | 4284059981 | 129 |
| Bon Secours Medical Group Richmond Specialty Care Llc | 8022440056 | 350 |
| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 463 |
| The Helping Hand Of Tomorrow Inc | 0648783100 | 2 |
| Mercy Health Physicians Kentucky Specialty Care Llc | 1456777069 | 144 |
| Mercy Health Physicians Cincinnati Specialty Care Llc | 3971907759 | 343 |
| Mercy Health Physicians North Specialty Care Llc | 1951707884 | 345 |
| Mercy Health Physicians Lorain Specialty Care Llc | 4688070055 | 134 |
| Entity Name | Bon Secours Medical Group Richmond Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
| Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Smith, PMHNP 1838 Forough Cir, Port Orange, FL 32128-6016 Ph: (386) 348-4200 | Heather Smith, PMHNP 1190 Pelican Bay Dr, Daytona Beach, FL 32119-1381 Ph: (386) 206-8069 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 |
Debra Dowell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-486-1253 |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 |
Lyne E Homeus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr., Daytona Beach, FL 32117 Phone: 386-274-0500 |
Souad Omri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-615-0900 |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 |