Willie W Smith Iii, PA-C - Medicare Physician Assistant in Ronceverte, WV

Willie W Smith Iii, PA-C is a medicare enrolled "Physician Assistant" in Ronceverte, West Virginia. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Camc Greenbrier Valley Medical Center Inc and his current practice location is 1521 Maplewood Ave, Ronceverte, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 647-5642.

Willie W Smith Iii is licensed to practice in West Virginia (license number 01526) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902231830.

Contact Information

Willie W Smith Iii, PA-C
1521 Maplewood Ave,
Ronceverte, WV 24970-8026
(304) 647-5642
(304) 793-5643



Provider's Profile

Full NameWillie W Smith Iii
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location1521 Maplewood Ave, Ronceverte, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Willie W Smith Iii graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1902231830
  • Provider Enumeration Date: 09/11/2013
  • Last Update Date: 09/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022244284
  • Enrollment ID: I20131115001657

Medical Identifiers

Medical identifiers for Willie W Smith Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902231830NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 01526 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Greenbrier Valley Medical CenterRonceverte, WVHospital
Charleston Area Medical CenterCharleston, WVHospital
Raleigh General HospitalBeckley, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Camc Greenbrier Valley Medical Center Inc125470296236

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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. Willie W Smith Iii 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 AddressPractice Location Address
Willie W Smith Iii, PA-C
176 Dawkins Dr,
Lewisburg, WV 24901-9302

Ph: (304) 647-4411
Willie W Smith Iii, PA-C
1521 Maplewood Ave,
Ronceverte, WV 24970-8026

Ph: (304) 647-5642

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Physician Assistant Nurses in Ronceverte, WV

Paul T Vaughn, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 119 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-5642    Fax: 304-647-5644
Mr. Joseph Lutz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 200 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-1148    Fax: 304-793-2208
Mary Katherine Bowling, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 103 Davis Stuart Rd, Ronceverte, WV 24970
Phone: 304-645-7546    Fax: 304-645-7547
Andyara Euzebio Passos, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1320 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-4411    
Ms. Dana Renick, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 200 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-1161    Fax: 304-647-3006
Mr. George Burton Bryant Jr., PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 122 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-645-7227    
Kimberly D Pierson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 103 Davis Stuart Road, Ronceverte, WV 24970
Phone: 304-645-7546    Fax: 304-645-7547

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