| Kelley N Smith, APRN | |
|
3300 Wade Hampton Blvd, Taylors, SC 29687-2902 | |
| (864) 268-9160 | |
| (864) 834-4966 |
| Full Name | Kelley N Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 3300 Wade Hampton Blvd, Taylors, South Carolina |
| 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 |
|---|---|---|---|
| 1235477894 | NPI | - | NPPES |
| NP3506 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP-14146 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 19696 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic South Carolina Llc | 8527126861 | 89 |
| Entity Name | New Horizon Family Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205949757 PECOS PAC ID: 8224949698 Enrollment ID: O20031106000211 |
| Entity Name | Sc House Calls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
| Entity Name | Minuteclinic Diagnostic South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447420815 PECOS PAC ID: 8527126861 Enrollment ID: O20081015000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley N Smith, APRN 3300 Wade Hampton Blvd, Taylors, SC 29687-2902 Ph: (800) 268-9160 | Kelley N Smith, APRN 3300 Wade Hampton Blvd, Taylors, SC 29687-2902 Ph: (864) 268-9160 |
Lydia Seppala, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Wade Hampton Blvd, Taylors, SC 29687 Phone: 866-389-2727 | |
Stacey Rybinski, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Pebble Creek Way, Taylors, SC 29687 Phone: 586-634-8916 | |
Mr. Daniel Wei Huen Wong, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4893 Wade Hampton Blvd, Unit D, Taylors, SC 29687 Phone: 864-590-2161 | |
Miss Ashley Nicole Peace, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3551a Rutherford Rd, Taylors, SC 29687 Phone: 864-522-4750 Fax: 864-522-4755 | |
Josephine Darko, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 Wade Hampton Blvd, Taylors, SC 29687 Phone: 866-389-2727 | |
Mariya Sharamet, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3300 Wade Hampton Blvd, Taylors, SC 29687 Phone: 864-378-9099 |