Anita R Smith, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Winston Salem, North Carolina. Her current practice location is
Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 716-2255.
Anita R Smith is licensed to practice in North Carolina (license number 300352) 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 1245215896.
Physician's Profile
Full Name | Anita R Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | Medical Center Blvd, Winston Salem, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245215896
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 12/18/2007
Medicare PECOS Information:
- PECOS PAC ID: 1951464601
- Enrollment ID: I20090107000337
Medical Identifiers
Medical identifiers for Anita R Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245215896 | NPI | - | NPPES |
D8019 | Other | | MEDCOST |
10186421 | Medicaid | VA | |
7241729 | Other | | AETNA |
7003526 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 300352 (North Carolina) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 300352 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Anita R Smith allows following entities to bill medicare on her behalf.
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
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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. Anita R 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 |
Anita R Smith, PNP Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Anita R Smith, PNP Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
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