Mrs Katlyn Ann Smith, PA-C in Alton, IL - Medicare Physician Assistant

Mrs Katlyn Ann Smith, PA-C is a medicare enrolled "Physician Assistant" in Alton, Illinois. Her current practice location is 4 Memorial Dr Ste 130, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 463-7600.

Mrs Katlyn Ann Smith is licensed to practice in Missouri (license number 085009225) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811588494.

Contact Information

	Mrs Katlyn Ann Smith, PA-C
	4 Memorial Dr Ste 130, Alton, IL 62002-6704
	(618) 463-7600
	Not Available

Provider's Profile

Full Name	Mrs Katlyn Ann Smith
Gender	Female
Speciality	Physician Assistant
Location	4 Memorial Dr Ste 130, Alton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811588494
Provider Enumeration Date: 01/27/2021
Last Update Date: 01/11/2023

Medicare PECOS Information:

PECOS PAC ID: 2163839358
Enrollment ID: I20210406002217

Medical Identifiers

Medical identifiers for Mrs Katlyn Ann Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811588494	NPI	-	NPPES
1181613	Other		NCCPA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(Georgia)	Secondary
363A00000X	Physician Assistant	085009225 (Missouri)	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. Mrs Katlyn Ann Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Katlyn Ann Smith, PA-C 4 Memorial Dr Ste 130, Alton, IL 62002-6704 Ph: (618) 463-7600	Mrs Katlyn Ann Smith, PA-C 4 Memorial Dr Ste 130, Alton, IL 62002-6704 Ph: (618) 463-7600

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Physician Assistant Nurses in Alton, IL

Mckenzie R Youngblood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 130, Alton, IL 62002 Phone: 618-463-7600
Michele D Brannan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 618-474-1723
Alexandria Ruzicka, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4411 Alby Street, Alton, IL 62002 Phone: 618-474-8052
Monika E Krupska-buckley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Saint Anthonys Way, 3rd Floor, Pain Management, Alton, IL 62002 Phone: 618-474-6318
Casey A Newgent, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr, Ste 130b, Alton, IL 62002 Phone: 618-463-7600 Fax: 618-463-7601
Kate A Smith, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 Saint Anthonys Way, Suite 305, Alton, IL 62002 Phone: 618-465-9024 Fax: 618-462-6828
Donald W Lemoine Ii, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Drive, Ste 130b, Alton, IL 62002 Phone: 618-463-7600 Fax: 618-463-7601

Mrs Katlyn Ann Smith, PA-C - Medicare Physician Assistant in Alton, IL