| Mr Richard Anthony Smith Sr, PA-C | |
|
41106 State Road 64 E, Myakka City, FL 34251-9355 | |
| (941) 322-8310 | |
| Not Available |
| Full Name | Mr Richard Anthony Smith Sr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 41106 State Road 64 E, Myakka City, Florida |
| 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 |
|---|---|---|---|
| 1588691901 | NPI | - | NPPES |
| 2907305 01 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9101104 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakewood Ranch Medical Center | Bradenton, FL | Hospital |
| Manatee Memorial Hospital | Bradenton, FL | Hospital |
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shadrick Kralik Md Pa | 4789097742 | 15 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Anthony Smith Sr, PA-C 41106 State Road 64 E, Myakka City, FL 34251-9355 Ph: (941) 322-8310 | Mr Richard Anthony Smith Sr, PA-C 41106 State Road 64 E, Myakka City, FL 34251-9355 Ph: (941) 322-8310 |
Dr. James Khargie, M.D. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33255 State Road 70 E, Myakka City, FL 34251 Phone: 941-421-9784 |