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Abbie Marie Stone-Smith

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860 (904) 202-2092

PECOS Enrollment

This provider is enrolled in PECOS as ABBIE STONE-SMITH.

Based on the most recent information from CMS, provider Abbie Marie Stone-Smith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1477847671
Provider Type
Individual
Full Name
Stone-Smith, Abbie Marie
Credential
DO

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/6/2011
Last Updated
8/5/2024

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 746638, Atlanta, GA 30374-6638

(904) 202-2092

(904) 376-4075

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License OS13334 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License OS13334 Florida
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 34011435 Ohio
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 34011435 Ohio

Provider Identifiers

ID	Description	Issuer
ID 0107261	Description Medicaid	Issuer Unlisted Ohio

Abbie Marie Stone-Smith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

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Provider Identifiers

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Description

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ID

Description

Issuer

Davison, Peter N

Dudhia, Summer Tuthill

Rotko, Tatjana A

Kyaw, Wai P

Mccarthy, Anna M

Patel, Niraj M

Saint-Phard, Tryphene

Rechcigl, Kevin T

Ahmed, Naveed

Raziq, Abdur