| Sarah Larraine Smith, APRN, MSN-FNP | |
|
501 N Route B, Hallsville, MO 65255-9266 | |
| (573) 696-0500 | |
| (573) 696-0509 |
| Full Name | Sarah Larraine Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 501 N Route B, Hallsville, Missouri |
| 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 |
|---|---|---|---|
| 1912571282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2021017871 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boone Hospital Center | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boone Physician Services Llc | 6507090644 | 246 |
| Entity Name | Jefferson City Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
| Entity Name | Boone Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Larraine Smith, APRN, MSN-FNP 501 N Route B, Hallsville, MO 65255-9266 Ph: (573) 696-0500 | Sarah Larraine Smith, APRN, MSN-FNP 501 N Route B, Hallsville, MO 65255-9266 Ph: (573) 696-0500 |
Ruth Threlkeld, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 N Route B, Hallsville, MO 65255 Phone: 573-696-0500 Fax: 573-696-0509 | |
Mrs. Kelli Marie Cash, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 N Route B, Hallsville, MO 65255 Phone: 573-696-0500 Fax: 573-696-0509 | |
Liza Suzanne Williams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 N Route B, Hallsville, MO 65255 Phone: 573-696-0500 |