| Samantha Marie Smith, APRN | |
|
1306 State St, Augusta, KS 67010-1126 | |
| (316) 775-9191 | |
| (316) 775-0348 |
| Full Name | Samantha Marie Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1306 State St, Augusta, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972003184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 53-78001-032 (Kansas) | Primary |
| Entity Name | Maria Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053740092 PECOS PAC ID: 5991936403 Enrollment ID: O20140326002119 |
| Entity Name | Holy Family Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215593249 PECOS PAC ID: 1658608906 Enrollment ID: O20190808002052 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Marie Smith, APRN 1306 State St, Augusta, KS 67010-1126 Ph: (316) 775-9191 | Samantha Marie Smith, APRN 1306 State St, Augusta, KS 67010-1126 Ph: (316) 775-9191 |
Mrs. Virginia K Hoefgen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2820 Ohio St, Augusta, KS 67010 Phone: 316-775-7500 Fax: 316-775-3685 | |
Mrs. Lisa Ann Gilmore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2820 Ohio St, Augusta, KS 67010 Phone: 316-775-7500 Fax: 316-775-3685 | |
Sheila Ebersole, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2820 Ohio St, Augusta, KS 67010 Phone: 316-775-7500 Fax: 316-775-7500 | |
Tara Dawn Lawrenz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 E Augusta Ave, Augusta, KS 67010 Phone: 316-425-0073 | |
Mr. Michael James Manley, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1306 State St, Augusta, KS 67010 Phone: 316-775-9191 Fax: 316-775-0348 | |
Mrs. Abigail L Oliver, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2820 Ohio St, Augusta, KS 67010 Phone: 316-775-7500 Fax: 316-775-3685 | |
Lindsay Depperschmidt, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 W 7th Ave, Augusta, KS 67010 Phone: 316-558-5575 |