| Nicole Sherae Smith, DNP, CRNA | |
|
333 Cottman Ave, Phila, PA 19111-2434 | |
| (267) 990-1028 | |
| Not Available |
| Full Name | Nicole Sherae Smith |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 333 Cottman Ave, Phila, Pennsylvania |
| 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 |
|---|---|---|---|
| 1750047635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN615430 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Temple University Hospital | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Temple Faculty Practice Plan Inc | 0345588711 | 1191 |
| Entity Name | Temple Faculty Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Sherae Smith, DNP, CRNA 714 Lincoln Ave, Prospect Park, PA 19076-2302 Ph: (215) 990-8232 | Nicole Sherae Smith, DNP, CRNA 333 Cottman Ave, Phila, PA 19111-2434 Ph: (267) 990-1028 |
Jeffrey D Park, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 Holme Ave, Phila, PA 19152 Phone: 215-335-6200 | |
Lisa Gonzales, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Phila, PA 19102 Phone: 215-762-7922 Fax: 215-762-8656 | |
Eric Filippo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Phila, PA 19102 Phone: 215-762-7922 Fax: 215-762-8656 |