| Lavada Jean Smith, ANP | |
|
12303 De Paul Dr, Bridgeton, MO 63044-2512 | |
| (314) 317-0600 | |
| (314) 317-0606 |
| Full Name | Lavada Jean Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 12303 De Paul Dr, Bridgeton, Missouri |
| 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 |
|---|---|---|---|
| 1164691945 | NPI | - | NPPES |
| 1164691945 | Medicaid | MO | |
| 1164691945 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 150496 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | 2090200077 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Anthony's Health Center | Alton, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Physician Services Pc | 0042307852 | 529 |
| Sound Physicians Of Illinois Llc | 1557533734 | 166 |
| Cep America-illinois Hospitalists, Llp | 3274765904 | 132 |
| Cep America - Illinois Snf Llp | 8022306737 | 8 |
| Entity Name | Cogent Healthcare Of Missouri Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780961599 PECOS PAC ID: 5597925099 Enrollment ID: O20120320000863 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
| Entity Name | Sound Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20170519000666 |
| Entity Name | Hospitalist Medicine Physicians Of Missouri - Bridgeton, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275012452 PECOS PAC ID: 2567713571 Enrollment ID: O20181001001537 |
| Entity Name | Galen Inpatient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538714688 PECOS PAC ID: 3678464633 Enrollment ID: O20191115000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Lavada Jean Smith, ANP 12101 Woodcrest Executive Dr, Suite 210, Saint Louis, MO 63141-5047 Ph: (314) 317-0600 | Lavada Jean Smith, ANP 12303 De Paul Dr, Bridgeton, MO 63044-2512 Ph: (314) 317-0600 |
Debra E Solom, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-209-5142 | |
Suneeta V. Parpelli, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-317-0600 Fax: 314-317-0606 | |
Mrs. Megan L Wren, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 420n, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 | |
Saima Baig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 490, Bridgeton, MO 63044 Phone: 314-344-7770 | |
Mckinzie Jo Kizer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-741-0911 Fax: 314-218-9622 | |
Ms. Amy Elizabeth Mcalister, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12255 Depaul Drive, Suite 370, Bridgeton, MO 63044 Phone: 314-209-5222 Fax: 314-092-5224 | |
Susan H Fliesher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 |