| Mr Angelo Damien Smith, PA-C | |
|
1144 N Road St, Elizabeth City, NC 27909-3473 | |
| (252) 335-0531 | |
| Not Available |
| Full Name | Mr Angelo Damien Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1144 N Road St, Elizabeth City, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255765392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA09495 (North Carolina) | Primary |
| Entity Name | Questcare Medical Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912059247 PECOS PAC ID: 6204739402 Enrollment ID: O20040127000697 |
| Entity Name | Ray Hubbard Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629145362 PECOS PAC ID: 1153595319 Enrollment ID: O20111128000352 |
| Entity Name | Texas Physician Resources, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639413289 PECOS PAC ID: 7012161375 Enrollment ID: O20130214000159 |
| Entity Name | Texas Medicine Resources, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
| Entity Name | Small Hospital Innovations LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20220124000512 |
| Entity Name | Ies Central Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003523002 PECOS PAC ID: 3476922576 Enrollment ID: O20221213000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Angelo Damien Smith, PA-C 3890 Waterside Dr, #305, Elizabeth City, NC 27909 Ph: (512) 507-9455 | Mr Angelo Damien Smith, PA-C 1144 N Road St, Elizabeth City, NC 27909-3473 Ph: (252) 335-0531 |
Kelly Weeks Meads, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1144 N Road St Ste 200, Elizabeth City, NC 27909 Phone: 252-384-2360 Fax: 252-384-2359 |
Chiarina Simeone Heyder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1134 N Road St Ste 9, Elizabeth City, NC 27909 Phone: 252-331-1100 |
John Joseph Beneck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1144 N Road St Ste 200, Elizabeth City, NC 27909 Phone: 252-384-2360 Fax: 252-384-2359 |
Andrea M. Dunlap, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1141 N Road St, Suite L, Elizabeth City, NC 27909 Phone: 252-335-0803 Fax: 252-331-1796 |
Stacey Ann Beneck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 Thunder Rd, Ste 140, Elizabeth City, NC 27909 Phone: 252-334-0320 Fax: 855-330-7320 |
Brooke L Jennings, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 135 E Rich Blvd, Elizabeth City, NC 27909 Phone: 252-333-1277 Fax: 252-333-1877 |
Ms. Linda G Brower, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1141 N Road St, Suite G, Elizabeth City, NC 27909 Phone: 252-335-5424 Fax: 252-335-1077 |