Shelly L Smith (NPI# 1346210697, PAC ID# 5395714786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1346210697 |
| PAC ID by PECOS | 5395714786 |
| Professional Enrollment ID | I20041001000587 |
| Full Name | Shelly L Smith |
| Organization Legal Name | SENIORS WELLNESS GROUP, P.C. |
| Address |
221 S Main St Suite 201 Royal Oak MI 48067-2653 |
| Phone Number | 2483986459 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1951202357 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14900 Middlebelt Rd, Livonia, MI 48154-4033 | 7344254200 | SENIORS WELLNESS GROUP, P.C. |
| 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 | 2483986459 | SENIORS WELLNESS GROUP, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_283_overall | Dementia: Neuropsychiatric Symptom Assessment | 100% | |
| MIPS_EC_284_overall | Dementia: Management of Neuropsychiatric Symptoms | 100% | |
| MIPS_EC_286_overall | Dementia: Counseling Regarding Safety Concerns | 100% | |
| MIPS_EC_288_overall | Dementia: Caregiver Education and Support | 100% |
| Organization Legal Name | SENIORS WELLNESS GROUP, P.C. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosa Gonzales | Nurse Practitioner | Seniors Wellness Group, P.C. | 1036 S Perry St, Napoleon, OH 43545-2159 |
| Julie A Leatherman | Clinical Social Worker | Seniors Wellness Group, P.C. | 5320 Hazoun Rd, Sylvania, OH 43560 |
| Anthony C Rivera | Clinical Psychologist | Seniors Wellness Group, P.C. | 3231 Manley Rd, Maumee, OH 43537-9680 |
| Amy Lynne Boggs | Clinical Social Worker | Seniors Wellness Group, P.C. | 5151 Main St, Sylvania, OH 43560-2184 |
| Katherine J Hitchcock | Psychologist, Clinical | Seniors Wellness Group, P.C. | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 |
| Alicia L Graham | Clinical Social Worker | Seniors Wellness Group, P.C. | 5320 Hazoun Rd, Sylvania, OH 43560 |
| Angela M Newman | Clinical Social Worker | Seniors Wellness Group, P.C. | 250 Manor Dr, Perrysburg, OH 43551-3118 |
| Street Address |
221 S MAIN ST SUITE 201 |
| City | ROYAL OAK |
| State | MI |
| Zip | 48067-2653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jung Yoen Son | Nurse Practitioner | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 |
| Harmony L Mckay | Nurse Practitioner | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2611 |
| Keith A Christie | Psychologist, Clinical | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 |
| Sherry L Lord | Psychologist, Clinical | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2611 |
| Braden K Guidry | Physical Therapy | 221 S Main St, Church Point, LA 70525-3115 | |
| Melanie M Finamore | Nurse Practitioner | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 |
| Carol J Beck | Nurse Practitioner | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2611 |
| Joanne L Terry | Clinical Social Worker | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 |
| Christina R Hancock | Clinical Social Worker | 221 S Main St, Bryan, OH 43506-1759 | |
| Rachel H Tuttle | Clinical Social Worker | Seniors Wellness Group of Michigan PC | 221 S Main St, Suite 201, Royal Oak, MI 48067-2611 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie P Williams | Psychologist, Clinical | 618 E Eleven Mile Rd, Transcendence Behavioral Health, Royal Oak, MI 48067 | |
| Joyce A Dixson-haskett | Clinical Social Worker | 26080 Woodward Ave, Royal Oak, MI 48067-0914 | |
| Poala D Prude Hall | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Paul D Krebsbach | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Nik Gjurashaj | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Sachin S Parikh | Cardiovascular Disease (cardiology) | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Rachel Lynn Carolan | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Raymond D Allard | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Michael J Zimmer | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Janice F Mcintosh | Certified Nurse Midwife | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Find all physicians in zip 48067 | |||
| City | ROYAL OAK |
| Zip Code | 48067 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROYAL OAK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shelly L 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.