| Ms Peggy Ann Smith, ARNP | |
|
4114 Bridgeport Way W, University Place, WA 98466-4315 | |
| (253) 564-4157 | |
| (253) 220-2491 |
| Full Name | Ms Peggy Ann Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 4114 Bridgeport Way W, University Place, Washington |
| 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 |
|---|---|---|---|
| 1467504084 | NPI | - | NPPES |
| RN00138953 | Other | WA | REGISTARED NURSE LICENSE |
| 20040025-22 | Other | FAMILY NURSE PRACTITIONER | |
| AP30006974 | Other | WA | ARNP LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP30006974 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Outpatient Services Inc | 4082868815 | 606 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Howard B Miller Md Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356419212 PECOS PAC ID: 4183613599 Enrollment ID: O20040511000458 |
| Entity Name | Washington Pac Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336678168 PECOS PAC ID: 4082986070 Enrollment ID: O20170825002664 |
| Entity Name | Wa Pacs 2 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144706532 PECOS PAC ID: 6901156538 Enrollment ID: O20180831002235 |
| Entity Name | Daiya Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20190501001702 |
| Entity Name | Cs Pacs 3 Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811752066 PECOS PAC ID: 8729526496 Enrollment ID: O20241011003807 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Peggy Ann Smith, ARNP 4114 Bridgeport Way W, University Place, WA 98466-4315 Ph: (253) 564-4157 | Ms Peggy Ann Smith, ARNP 4114 Bridgeport Way W, University Place, WA 98466-4315 Ph: (253) 564-4157 |
Dr. Fransje Jereontje Slothouber Giles, DNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-627-6576 | |
Chantel Yuong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-627-6576 | |
Sambridhi Shrestha, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4114 Bridgeport Way W, University Place, WA 98466 Phone: 253-564-4157 | |
Ms. Paula R Thrall, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-534-7099 | |
Elizabeth L Lemond, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2901 Bridgeport Way W Ste 160, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-761-1040 | |
Mrs. Glee Lyon, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1919 70th Ave W Ste D1, University Place, WA 98466 Phone: 253-565-7596 Fax: 253-999-3323 | |
Ms. Christina Sandra Hummes, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-534-7098 |