| Samantha Ashley Smith, PMHNP-BC | |
| 
					1263 S George St # A, Charles Town, WV 25414-4384  | |
| (443) 383-9300 | |
| (855) 866-8710 | 
| Full Name | Samantha Ashley Smith | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 1263 S George St # A, Charles Town, West Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730803792 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WW0000X | Registered Nurse - Wound Care | 89411 (West Virginia) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 114263 (West Virginia) | Primary | 
| Entity Name | Consonant Healing Associates Of De Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669099321 PECOS PAC ID: 2466871694 Enrollment ID: O20210713000464  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samantha Ashley Smith, PMHNP-BC 909 Ridgebrook Rd Ste 300, Sparks Glencoe, MD 21152-9477 Ph: (443) 383-9300  | Samantha Ashley Smith, PMHNP-BC 1263 S George St # A, Charles Town, WV 25414-4384 Ph: (443) 383-9300  | 
Alexis Alastanos,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 912 Somerset Blvd Ste 102, Charles Town, WV 25414 Phone: 304-725-2273  | |
Gina Marie Cappiccie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 S George St # A, Charles Town, WV 25414 Phone: 443-383-9300 Fax: 855-866-8710  | |
Mrs. Kerry L. Bayer Cole, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 710 Somerset Blvd Ste 103, Charles Town, WV 25414 Phone: 304-728-8661 Fax: 304-728-8518  | |
Braden Mancini,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1263 S George St # A, Charles Town, WV 25414 Phone: 443-383-9300 Fax: 855-866-8710  | |
Raegan Kendall Cogar,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 S George St, Charles Town, WV 25414 Phone: 443-383-9300  | |
John Thomas Considine, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 912 Somerset Blvd, Charles Town, WV 25414 Phone: 304-886-8026  | |
Kristen Hoskins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1263 S George St # A, Charles Town, WV 25414 Phone: 443-383-9300 Fax: 855-866-8710  |