| Lisa Marie Smith-hannon, APRN-C | |
|
5493 Wiles Rd Ste 106, Coconut Creek, FL 33073-4219 | |
| (321) 214-4530 | |
| Not Available |
| Full Name | Lisa Marie Smith-hannon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 5493 Wiles Rd Ste 106, Coconut Creek, Florida |
| 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 |
|---|---|---|---|
| 1700421450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APRN11005075 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rd Medical Professional Services Pc | 8628463296 | 22 |
| Entity Name | Legacy Physiatry Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20141014000387 |
| Entity Name | Good Life Healing Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972879096 PECOS PAC ID: 1052722873 Enrollment ID: O20201201000442 |
| Entity Name | Rd Medical Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811643166 PECOS PAC ID: 8628463296 Enrollment ID: O20221213002155 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Smith-hannon, APRN-C 5325 Lena Rd Ste 101, Bradenton, FL 34211-9442 Ph: (941) 301-8485 | Lisa Marie Smith-hannon, APRN-C 5493 Wiles Rd Ste 106, Coconut Creek, FL 33073-4219 Ph: (321) 214-4530 |
Tatiana Nicole Jarrin, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6550 N State Road 7, Coconut Creek, FL 33073 Phone: 954-426-1100 | |
Jacqueline Dixon, BSN, RN, MSNFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4160 Nw 62nd Ct, Coconut Creek, FL 33073 Phone: 954-501-1668 | |
Diego Alejandro Cardona Orozco, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4250 Nw 30th St Apt 257, Coconut Creek, FL 33066 Phone: 305-389-1664 | |
Andra M Hanlon, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4570 Lyons Rd, #110, Coconut Creek, FL 33073 Phone: 954-971-3210 Fax: 954-971-3427 | |
Monika P. Michaeli, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4828 Coconut Creek Pkwy, Coconut Creek, FL 33063 Phone: 954-582-2828 Fax: 877-319-1851 | |
Dr. Jennifer Catherine Peterson, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5561 Nw 49th Way, Coconut Creek, FL 33073 Phone: 954-234-1237 | |
Michelle Nichole Sin, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3679 Cocoplum Cir Unit 3528, Coconut Creek, FL 33063 Phone: 717-658-8353 |