| 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 | 21 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 |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2090200077 (Illinois) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 150496 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Anthony's Health Center | Alton, IL | Hospital |
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America-illinois Hospitalists, Llp | 3274765904 | 193 |
| Southeastern Physician Services Pc | 0042307852 | 591 |
| Galen Inpatient Physicians Pc | 3678464633 | 1045 |
| Cep America - Illinois Snf Llp | 8022306737 | 8 |
| Entity Name | Cep America-illinois Hospitalists, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
| Entity Name | Cep America - Illinois SNF LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073069415 PECOS PAC ID: 8022306737 Enrollment ID: O20161012002933 |
| 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 |
Saima Baig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 490, Bridgeton, MO 63044 Phone: 314-344-7770 |
Mrs. Stella Wohlfarth, FNP-C, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3478 Bridgeland Dr Ste 2, Bridgeton, MO 63044 Phone: 314-739-8200 Fax: 314-735-4490 |
Mckinzie Jo Kizer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments 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 |