| Jessica Smith, | |
|
1120 E Broad St, Elyria, OH 44035-6306 | |
| (440) 366-2239 | |
| (440) 365-1366 |
| Full Name | Jessica Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1120 E Broad St, Elyria, Ohio |
| 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 |
|---|---|---|---|
| 1669923207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.019978 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals - Elyria Medical Center | Elyria, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Hospitals Medical Group Inc | 4789682493 | 1735 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Community Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538236872 PECOS PAC ID: 5496648123 Enrollment ID: O20040205000697 |
| Entity Name | Emh Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841299039 PECOS PAC ID: 7517931389 Enrollment ID: O20040826000069 |
| Entity Name | Elyria Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Community Intensivists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992131742 PECOS PAC ID: 8426272923 Enrollment ID: O20140623001963 |
| Entity Name | Hni Medical Services Of Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356815922 PECOS PAC ID: 1759620735 Enrollment ID: O20190308002704 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Smith, 578 N Leavitt Rd, Amherst, OH 44001-1131 Ph: (440) 213-0858 | Jessica Smith, 1120 E Broad St, Elyria, OH 44035-6306 Ph: (440) 366-2239 |
Bretzyl M Liscoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 | |
Nicole Fatemeh Scavuzzo, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-406-8153 Fax: 440-406-8312 | |
Mary Lauretta Gilchrist, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Ms. Amy M. King, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Amy M Kovalsky, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Mrs. Brenda J Life, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035 Phone: 440-326-4120 Fax: 440-322-3454 | |
Jennifer Gelske, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41201 Schadden Rd, Elyria, OH 44035 Phone: 440-324-0400 Fax: 440-324-0441 |