Mary T Smith (NPI# 1144382672, PAC ID# 9739361023) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144382672 |
| PAC ID by PECOS | 9739361023 |
| Professional Enrollment ID | I20190605002615 |
| Full Name | Mary T Smith |
| Organization Legal Name | MISSISSIPPI BAND OF CHOCTAW INDIANS |
| Address |
376 Campus Rd Conehatta MS 39057-2800 |
| Phone Number | 6013894463 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385546662 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250127 | CHOCTAW HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 210 Hospital Cir, Choctaw, MS 39350-6781 | 6013894500 | MISSISSIPPI BAND OF CHOCTAW INDIANS |
| 376 Campus Rd, Conehatta, MS 39057-2800 | 6013894463 | MISSISSIPPI BAND OF CHOCTAW INDIANS |
| 124 Big Creek Cir, Philadelphia, MS 39350-9004 | 6016566960 | MISSISSIPPI BAND OF CHOCTAW INDIANS |
| Organization Legal Name | MISSISSIPPI BAND OF CHOCTAW INDIANS |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aishia L Keady | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Lasteffia J Todd | Nurse Practitioner | Mississippi Band of Choctaw Indians | 124 Big Creek Cir, Philadelphia, MS 39350-9004 |
| Michelle S Atkinson | Nurse Practitioner | Mississippi Band of Choctaw Indians | 1930 N Pearl St, Red Water Satellite, Carthage, MS 39051-8220 |
| Ethel S Beasley | Internal Medicine | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Chandrashekhar V Joshi | Family Medicine | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Shannon V Johnson | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Kimberly L Eldridge | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Nestor L Olivo Crespo | Internal Medicine | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Lesa A Waters | Nurse Practitioner | Mississippi Band of Choctaw Indians | 376 Campus Rd, Conehatta, MS 39057-2800 |
| Teresa K Cumberland | Nurse Practitioner | Mississippi Band of Choctaw Indians | 376 Campus Rd, Conehatta, MS 39057-2800 |
| Street Address |
376 CAMPUS RD |
| City | CONEHATTA |
| State | MS |
| Zip | 39057-2800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lesa A Waters | Nurse Practitioner | Mississippi Band of Choctaw Indians | 376 Campus Rd, Conehatta, MS 39057-2800 |
| Teresa K Cumberland | Nurse Practitioner | Mississippi Band of Choctaw Indians | 376 Campus Rd, Conehatta, MS 39057-2800 |
| Nancy Y Jordan | Nurse Practitioner | Mississippi Band of Choctaw Indians | 376 Campus Rd, Conehatta, MS 39057-2800 |
| City | CONEHATTA |
| Zip Code | 39057 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONEHATTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary T Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.