| M'kenzee B Smith, APN | |
|
1100 E Norris Dr, Ottawa, IL 61350-1604 | |
| (815) 433-1010 | |
| Not Available |
| Full Name | M'kenzee B Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1100 E Norris Dr, Ottawa, Illinois |
| 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 |
|---|---|---|---|
| 1073064952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209-014864 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| M'kenzee B Smith, APN 1100 E Norris Dr, Ottawa, IL 61350-1604 Ph: (815) 433-1010 | M'kenzee B Smith, APN 1100 E Norris Dr, Ottawa, IL 61350-1604 Ph: (815) 433-1010 |
Evan C Alling, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1640 1st Ave, Ottawa, IL 61350 Phone: 815-431-9208 | |
Mrs. Angela Marie Todd, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1306 Gemini Cir Ste 1, Ottawa, IL 61350 Phone: 815-433-9200 Fax: 815-705-1716 | |
Carmen Leigh Hooper, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5757 | |
Carrie B Finley, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1209 Starfire Dr Ste 3, Ottawa, IL 61350 Phone: 815-434-2048 Fax: 815-434-2177 | |
Kate E Jaegle, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 E Norris Dr Ste 3a, Ottawa, IL 61350 Phone: 815-431-5746 Fax: 815-431-5747 | |
Pahroul Dave, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1209 Starfire Dr Ste 1, Ottawa, IL 61350 Phone: 815-434-2115 |