| Kimberly Smith, | |
|
120 E Olentangy St, Powell, OH 43065-9069 | |
| (614) 898-1211 | |
| (614) 961-1096 |
| Full Name | Kimberly Smith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 120 E Olentangy St, Powell, 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 |
|---|---|---|---|
| 1134593601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | 2769383785 | 487 |
| Entity Name | Central Ohio Primary Care Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194705194 PECOS PAC ID: 2769383785 Enrollment ID: O20040114000204 |
| Entity Name | Emergency Medicine Physicians of Champaign County Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285078220 PECOS PAC ID: 6204074529 Enrollment ID: O20130528000752 |
| Entity Name | Usacs Integrated Acute Care Services of Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043805690 PECOS PAC ID: 9032527221 Enrollment ID: O20210428002191 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Smith, 120 E Olentangy St, Powell, OH 43065-9069 Ph: (614) 898-1211 | Kimberly Smith, 120 E Olentangy St, Powell, OH 43065-9069 Ph: (614) 898-1211 |
Ashley Suffoletto, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10330 Sawmill Pkwy, Suite 300, Powell, OH 43065 Phone: 614-794-0481 Fax: 614-794-3711 |
Jack Ellis I, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4141 N Hampton Dr Ste 200, Powell, OH 43065 Phone: 614-764-0200 |
Gabriela Lowe, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8941 Shaffer Dr, Powell, OH 43065 Phone: 614-917-9629 |
Madison Mackenzie Rapier, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 507 Vogt Ct S, Powell, OH 43065 Phone: 614-800-2721 |
Desiree Nichole Hauenstein, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10401 Sawmill Pkwy, Powell, OH 43065 Phone: 614-685-2805 Fax: 614-293-1957 |