| Travis R Smith, PA-C | |
|
4847 Hoffman Blvd, Hoffman Estates, IL 60192-3722 | |
| (847) 685-4646 | |
| (847) 685-4631 |
| Full Name | Travis R Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 4847 Hoffman Blvd, Hoffman Estates, Illinois |
| 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 |
|---|---|---|---|
| 1619176021 | NPI | - | NPPES |
| 209118 | Other | IL | MEDICARE PTAN LOCALITY 15 |
| 209119 | Other | IL | MEDICARE PTAN LOCALITY 16 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085002991 (Illinois) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 085002991 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Good Shepherd Hospital | Barrington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 3081 |
| Entity Name | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Midwest Orthopaedics at Rush LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811942451 PECOS PAC ID: 0244143196 Enrollment ID: O20040706000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis R Smith, PA-C 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Travis R Smith, PA-C 4847 Hoffman Blvd, Hoffman Estates, IL 60192-3722 Ph: (847) 685-4646 |
Michael Frederick Graf, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5810 Providence Dr, Hoffman Estates, IL 60192 Phone: 847-488-0941 |
Talia Sivan Gordon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W Higgins Rd Ste 1040, Hoffman Estates, IL 60169 Phone: 847-884-8096 Fax: 847-490-0978 |
Jennifer Oshea, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1555 Barrington Rd, Dob 3 Suite4100, Hoffman Estates, IL 60169 Phone: 847-781-1789 Fax: 847-781-9973 |
Michael D Render, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192 Phone: 224-484-0183 Fax: 224-699-9301 |
Meghan Valleau, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4847 Hoffman Blvd, Hoffman Estates, IL 60192 Phone: 847-931-1813 Fax: 847-931-1861 |
Aleena Pinarkyil, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2359 Hassell Rd, Hoffman Estates, IL 60169 Phone: 847-843-7030 Fax: 847-843-2430 |
Mrs. Mercedes Isabel Jacks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 Barrington Rd Ste 501, Hoffman Estates, IL 60169 Phone: 847-490-8900 |