| Mr Fred Allen Smith Jr, DNP, FNP-C | |
|
4944 Greensboro Rd, Ridgeway, VA 24148-3390 | |
| (276) 956-2233 | |
| Not Available |
| Full Name | Mr Fred Allen Smith Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 4944 Greensboro Rd, Ridgeway, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619524527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024178098 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osh-mi Physicians Group Pc | 7810282191 | 157 |
| Entity Name | Osh-mi Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033766092 PECOS PAC ID: 7810282191 Enrollment ID: O20191118000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Fred Allen Smith Jr, DNP, FNP-C 1007 Summit Ave, Greensboro, NC 27405-7007 Ph: (336) 200-7010 | Mr Fred Allen Smith Jr, DNP, FNP-C 4944 Greensboro Rd, Ridgeway, VA 24148-3390 Ph: (276) 956-2233 |
Jennifer Sheridan Humphrey, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6890 Greensboro Rd, Ridgeway, VA 24148 Phone: 276-956-1013 Fax: 276-956-1016 | |
Leigh Reynolds, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4944 Greensboro Rd, Ridgeway, VA 24148 Phone: 276-638-0787 | |
Ms. Tykiesha Mcdaniel Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4944 Greensboro Rd, Ridgeway, VA 24148 Phone: 276-956-1629 | |
Joanna Lynn Carter, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4944 Greensboro Rd, Ridgeway, VA 24148 Phone: 276-956-2233 Fax: 276-956-1629 | |
Mrs. Amanda L Keith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4944 Greensboro Rd, Ridgeway, VA 24148 Phone: 276-956-2233 Fax: 276-956-1629 | |
Luzmila Zona Via, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4944 Greensboro Rd, Ridgeway, VA 24148 Phone: 276-638-0787 |