| Ms Chanel Tarae Smith, PA | |
|
2015 Grand Concourse, Bronx, NY 10453-4303 | |
| (718) 583-7736 | |
| (718) 537-6180 |
| Full Name | Ms Chanel Tarae Smith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 2015 Grand Concourse, Bronx, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215748470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 033041 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mount Vernon Neighborhood Health Center Inc | 0345139671 | 48 |
| Essen Medical Associates, Pc | 1759353501 | 264 |
| Entity Name | Mount Vernon Neighborhood Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295912541 PECOS PAC ID: 0345139671 Enrollment ID: O20040313000345 |
| Entity Name | Essen Medical Associates, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
| Entity Name | House Call Medical Services of New York, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427 |
| Entity Name | Bronx Medical Practice PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726087 PECOS PAC ID: 9739496100 Enrollment ID: O20150917000004 |
| Entity Name | Shakespeare Operating LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720634538 PECOS PAC ID: 0840604310 Enrollment ID: O20210123000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Chanel Tarae Smith, PA 2626 Halperin Ave, Bronx, NY 10461-2631 Ph: (718) 618-0401 | Ms Chanel Tarae Smith, PA 2015 Grand Concourse, Bronx, NY 10453-4303 Ph: (718) 583-7736 |
Bienvenida A Ruiz, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1650 Selwyn Ave Apt 4a, Bronx, NY 10457 Phone: 718-960-1220 |
Mr. Zaphin Varghese, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1825 Eastchester Rd, Bronx, NY 10461 Phone: 718-904-2000 |
Lital Fleyshmakher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 977 E 149th St, Bronx, NY 10455 Phone: 347-439-3824 |
Danielle Zeidman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Pelham Pkwy S, Bronx, NY 10461 Phone: 718-918-5000 |
Dane Mccarthy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-5731 |
Yilun Li, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1825 Eastchester Rd, Bronx, NY 10461 Phone: 203-710-6502 |
Rebekah Snitkoff, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 718-579-5000 |