| Ms Courtney Holly Smith, PA | |
|
500 Campus Dr, Emergency Department, Hancock, MI 49930-1452 | |
| (906) 483-1000 | |
| Not Available |
| Full Name | Ms Courtney Holly Smith |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 500 Campus Dr, Hancock, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073058491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008042 (Michigan) | Primary |
| Entity Name | Newton Wellesley Emergency Medicine Specialist PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346355526 PECOS PAC ID: 7810983996 Enrollment ID: O20040423000237 |
| Entity Name | Steward Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780971275 PECOS PAC ID: 0244401404 Enrollment ID: O20110919000768 |
| Entity Name | Mass General Brigham Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083360200 PECOS PAC ID: 3971987108 Enrollment ID: O20230925000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Courtney Holly Smith, PA 500 Campus Dr, Emergency Department, Hancock, MI 49930-1452 Ph: (906) 483-1000 | Ms Courtney Holly Smith, PA 500 Campus Dr, Emergency Department, Hancock, MI 49930-1452 Ph: (906) 483-1000 |
Mercedes A Maki, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1103 |
Kathryn E Kass, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-372-3230 |
Ms. Tara Lynn Lassila, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1147 |
Mr. Guy Pellegrini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 |
Jesse R Primeau, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1777 |
Whitney J Brey, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Suite 2, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-372-3230 |
Ms. Megan M Brueggeman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Drive, Suite 1, Hancock, MI 49930 Phone: 906-483-1040 Fax: 906-483-1270 |