| Phyllis Smith, | |
|
40600 Ann Arbor Rd E Ste 201, Plymouth, MI 48170-4675 | |
| (574) 546-1900 | |
| (574) 546-1999 |
| Full Name | Phyllis Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 40600 Ann Arbor Rd E Ste 201, Plymouth, Michigan |
| 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 |
|---|---|---|---|
| 1053197269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704291906 (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | 4704291906NSA230IZ (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neurology And Pain Management Associates Pc | 4486676095 | 85 |
| Entity Name | Neurology And Pain Management Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518900620 PECOS PAC ID: 4486676095 Enrollment ID: O20160106002481 |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Smith, 2100 N Main St Ste 304, Crown Point, IN 46307-1877 Ph: (574) 546-1900 | Phyllis Smith, 40600 Ann Arbor Rd E Ste 201, Plymouth, MI 48170-4675 Ph: (574) 546-1900 |
Kimberly Colleen Snowdon, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Thimg Primary Care - Southeast Livonia, 29370 Plymouth Rd Ste 100, Plymouth, MI 48150 Phone: 734-655-8200 Fax: 734-655-8210 | |
Deborah Sue Dunn, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6380 Napier Rd, Plymouth, MI 48170 Phone: 734-451-7553 | |
Kyle M Farr, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 640 Starkweather St Ste C, Plymouth, MI 48170 Phone: 734-259-2804 Fax: 734-259-2805 | |
Laura Leblanc, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 768 York St, Plymouth, MI 48170 Phone: 810-287-1488 Fax: 734-462-0344 | |
Kathryn Marie Kumor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9215 Marlowe Ave, Plymouth, MI 48170 Phone: 734-673-1931 | |
Jacqueline Boboescu, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8769 N Territorial Rd, Plymouth, MI 48170 Phone: 734-679-7477 |