| Mr Harris Jesse Smith, PA-C | |
|
240 Smith Church Rd Ste A, Roanoke Rapids, NC 27870-4900 | |
| (252) 535-1082 | |
| Not Available |
| Full Name | Mr Harris Jesse Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 240 Smith Church Rd Ste A, Roanoke Rapids, North Carolina |
| 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 |
|---|---|---|---|
| 1326313719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-07459 (North Carolina) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 2013 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ecu Health North Hospital | Roanoke rapids, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 986 |
| Entity Name | Vidant Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Harris Jesse Smith, PA-C 250 Smith Church Rd Ste A, Roanoke Rapids, NC 27870-4914 Ph: (252) 535-1082 | Mr Harris Jesse Smith, PA-C 240 Smith Church Rd Ste A, Roanoke Rapids, NC 27870-4900 Ph: (252) 535-1082 |
Carlton Reid Beaman Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Cardinal Dr, Roanoke Rapids, NC 27870 Phone: 252-308-0686 Fax: 252-308-0872 |
Ms. Ayanna Saran Galloway, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-308-9699 Fax: 252-308-6819 |
Elisabeth Caitlin Beard, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 704-787-0494 |
Mrs. Kim Anh Thi Dang, P-AC Physician Assistant Medicare: Medicare Enrolled Practice Location: 257 Highway 125, Roanoke Rapids, NC 27887 Phone: 252-410-0001 Fax: 252-410-0003 |
William Joseph Burrell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Cardinal Dr, Roanoke Rapids, NC 27870 Phone: 252-308-0868 |
Mr. Michael Dial, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8011 |
Mr. Lewis Edel Bertus, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 738 Raleigh St, Roanoke Rapids, NC 27870 Phone: 423-310-4225 |