| Mrs Gina Sophia Marchio Smith, CNP | |
|
29575 Sportsman Dr Ste 6, Chisago City, MN 55013-4801 | |
| (651) 257-8850 | |
| Not Available |
| Full Name | Mrs Gina Sophia Marchio Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 29575 Sportsman Dr Ste 6, Chisago City, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669141875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 8434 (Minnesota) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 8434 (Minnesota) | Primary |
| Entity Name | Accentcare Medical Group Of Minnesota, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376387134 PECOS PAC ID: 4688101884 Enrollment ID: O20241230003062 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gina Sophia Marchio Smith, CNP 17855 Dallas Pkwy Ste 200, Dallas, TX 75287-6857 Ph: (909) 472-3270 | Mrs Gina Sophia Marchio Smith, CNP 29575 Sportsman Dr Ste 6, Chisago City, MN 55013-4801 Ph: (651) 257-8850 |
Karla Jean Lind, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-674-4570 | |
Mr. Richard John Mastenbrook, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-8850 Fax: 651-257-8852 | |
Susan Flannigan, RNCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Fairview Lakes Chisago Clinic, 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-8499 | |
Kelsey Lynn Mccollum, APRN - CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 855-324-7843 |