Individual ProviderJamie SmithPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2790 Health Pkwy, Mt Pleasant, MI 48858-6934(989) 953-5320PECOS EnrollmentBased on the most recent information from CMS, provider Jamie Smith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1033742457Provider TypeIndividualFull NameSmith, JamieGenderFemaleSole ProprietorYesEnumeration Date2/13/2020Last Updated5/21/2021Contact InformationPractice LocationPractice Address2790 Health Pkwy, Mt Pleasant, MI 48858-6934Phone(989) 953-5320Fax(989) 953-5329Mailing LocationMailing Address2790 Health Pkwy, Mt Pleasant, MI 48858-6934Phone(989) 953-5320Fax(989) 953-5329Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer