Erica Kellyn Smith, PA-C, ATC in Vicksburg, MS - Physician Assistant

Erica Kellyn Smith, PA-C, ATC is a Physician Assistant physician based in Vicksburg, Mississippi. Erica Kellyn Smith is licensed to practice in Mississippi (license number PA00777) and her current practice location is 2100 Highway 61 N, Vicksburg, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 883-5000.

NPI number for Erica Kellyn Smith is 1477013456 and her current mailing address is 4 Glenwood Cir, Vicksburg, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477013456.

Contact Information

	Erica Kellyn Smith, PA-C, ATC
	2100 Highway 61 N, Vicksburg, MS 39183-8211
	(601) 883-5000
	Not Available

Physician's Profile

Full Name	Erica Kellyn Smith
Gender	Female
Speciality	Physician Assistant
Location	2100 Highway 61 N, Vicksburg, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1477013456
Provider Enumeration Date: 03/25/2019
Last Update Date: 02/20/2024

Medical Identifiers

Medical identifiers for Erica Kellyn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477013456	NPI	-	NPPES
NA	Other		NA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	PA00777 (Mississippi)	Secondary
363A00000X	Physician Assistant	PA00777 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Kellyn Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Erica Kellyn Smith, PA-C, ATC 4 Glenwood Cir, Vicksburg, MS 39180-3942 Ph: (601) 540-4936	Erica Kellyn Smith, PA-C, ATC 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000

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Erica Kellyn Smith, PA-C, ATC - Physician Assistant in Vicksburg, MS