Daniella Smith, is a medicare enrolled "Nurse Practitioner - Family" physician in Tampa, Florida. Her current practice location is
4503 N 22nd St, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 738-6684.
Daniella Smith is licensed to practice in Florida (license number APRN11021183) 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 1124744289.
Physician's Profile
Full Name | Daniella Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4503 N 22nd St, Tampa, Florida |
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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: 1124744289
- Provider Enumeration Date: 10/19/2022
- Last Update Date: 12/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779953278
- Enrollment ID: I20221227001900
Medical Identifiers
Medical identifiers for Daniella Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124744289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 11021183 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11021183 (Florida) | 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. Daniella Smith allows following entities to bill medicare on her behalf.
Entity Name | Florida Hospital Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
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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. Daniella 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 |
Daniella Smith, 405 S Arrawana Ave Unit 6, Tampa, FL 33609-4135 Ph: (813) 751-6720 | Daniella Smith, 4503 N 22nd St, Tampa, FL 33610-6201 Ph: (813) 738-6684 |
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