| Patrick Kelly Smith, PAC | |
|
20200 54th Ave W, Lynnwood, WA 98036-6318 | |
| (425) 672-6400 | |
| Not Available |
| Full Name | Patrick Kelly Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 20200 54th Ave W, Lynnwood, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124016951 | NPI | - | NPPES |
| 142901 | Other | GREAT LAKES HEALTH PLAN | |
| 381908328 | Other | TRICARE | |
| 201 | Other | MI | COMMUNITY CHOICE OF MI |
| 3381330 | Other | MI | MOLINA HEALTH CARE |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1519 |
| Entity Name | Kaiser Foundation Health Plan of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Kelly Smith, PAC 20200 54th Ave W, Lynnwood, WA 98036-6318 Ph: (425) 672-6400 | Patrick Kelly Smith, PAC 20200 54th Ave W, Lynnwood, WA 98036-6318 Ph: (425) 672-6400 |
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