| Mandolin Smith, PA-C | |
|
525 Branson Landing Blvd, Branson, MO 65616-2052 | |
| (417) 335-7218 | |
| Not Available |
| Full Name | Mandolin Smith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 525 Branson Landing Blvd, Branson, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164986022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Missouri) | Primary |
| Entity Name | Mercy Clinic Joplin LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
| Entity Name | Mercy Hospital Carthage |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20120225000071 |
| Entity Name | Mercy Hospital Carthage |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20141203001963 |
| Entity Name | Skaggs Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346602646 PECOS PAC ID: 5092624320 Enrollment ID: O20160517000289 |
| Entity Name | Green Country Emergency Physicians Group of Tulsa, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972698553 PECOS PAC ID: 0345247052 Enrollment ID: O20230912001823 |
| Entity Name | Allmo Collective LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881473569 PECOS PAC ID: 8325495112 Enrollment ID: O20231116000833 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandolin Smith, PA-C 1022 E Chestnut St, Carthage, MO 64836-1417 Ph: (417) 499-7770 | Mandolin Smith, PA-C 525 Branson Landing Blvd, Branson, MO 65616-2052 Ph: (417) 335-7218 |
Kenzie Alexus Wolfe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 Branson Landing Blvd, Branson, MO 65616 Phone: 417-335-7000 |
Elyse Verdeyen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Business Park Dr Ste C, Branson, MO 65616 Phone: 417-336-0033 Fax: 855-710-6552 |
Denise Lynn Anderson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 121 Cahill Rd, Branson, MO 65616 Phone: 417-348-8100 |
Mrs. Kai Lea Stancer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 890 Hwy 248, Branson, MO 65616 Phone: 417-335-2299 |
Jay Weston Scott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 448 State Highway 248, Branson, MO 65616 Phone: 620-794-1139 |
Larry Dean Johnson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 525 Branson Landing Blvd, Branson, MO 65616 Phone: 417-348-8646 Fax: 417-335-7529 |
Ryan D Toliver, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 545 Branson Landing Blvd, Ste 306, Branson, MO 65616 Phone: 417-336-9728 Fax: 417-337-9710 |