| Loren E Smith Ii, PA-C | |
|
341 Hospital Dr, Lebanon, MO 65536-9217 | |
| (417) 532-7850 | |
| (417) 532-2451 |
| Full Name | Loren E Smith Ii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 341 Hospital Dr, Lebanon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659334514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50-002369 (Ohio) | Primary |
| Entity Name | Greater Toledo Urgent Cares LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982993010 PECOS PAC ID: 3577749811 Enrollment ID: O20110520000365 |
| Entity Name | Hometown Urgent Care of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20211014001382 |
| Mailing Address | Practice Location Address |
|---|---|
| Loren E Smith Ii, PA-C 30713 Highway Bb, Lebanon, MO 65536-8255 Ph: (417) 532-7045 | Loren E Smith Ii, PA-C 341 Hospital Dr, Lebanon, MO 65536-9217 Ph: (417) 532-7850 |
Timothy Charles Brazeal, MS, ATC, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 331 Hospital Dr, Suite D, Lebanon, MO 65536 Phone: 417-533-6315 Fax: 417-533-6320 |
Jason Bustin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr Ste 100, Lebanon, MO 65536 Phone: 417-533-6751 |
Mr. David Douglas, P.A.C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 755 Cowan Dr, Lebanon, MO 65536 Phone: 417-532-2805 Fax: 417-532-2865 |
Sara M Rose, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 331 Hospital Dr Ste A, Lebanon, MO 65536 Phone: 417-533-6560 |
Sandra J. Barnes-steen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 331 Hospital Dr, Suite C, Lebanon, MO 65536 Phone: 417-533-6500 Fax: 417-533-6555 |
Ashley A Vanzant, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 417-334-8337 Fax: 417-532-2067 |
Michael White, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 |