Dr Nikisha Holly Smith, MD in Waldorf, MD

Dr Nikisha Holly Smith, MD is a medicare enrolled "Pediatrics" physician in Waldorf, Maryland. Her current practice location is 11315 Pembrooke Sq, Suite 110, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 645-6165.

Dr Nikisha Holly Smith is licensed to practice in Maryland (license number D0066277) 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 1316147341.

Contact Information

	Dr Nikisha Holly Smith, MD
	11315 Pembrooke Sq, Suite 110, Waldorf, MD 20603-4806
	(301) 645-6165
	(301) 843-7232

Map and Direction

Physician's Profile

Full Name	Dr Nikisha Holly Smith
Gender	Female
Speciality	Pediatrics
Location	11315 Pembrooke Sq, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316147341
Provider Enumeration Date: 07/18/2007
Last Update Date: 07/18/2007

Medicare PECOS Information:

PECOS PAC ID: 5991846958
Enrollment ID: I20100113000156

Medical Identifiers

Medical identifiers for Dr Nikisha Holly Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316147341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	D0066277 (Maryland)	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. Dr Nikisha Holly Smith allows following entities to bill medicare on her behalf.

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

Entity Name	Baltimore Washington Emergency Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215983853 PECOS PAC ID: 3577451103 Enrollment ID: O20040305001004

Entity Name	Mdics At Calvert Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033404207 PECOS PAC ID: 6406017425 Enrollment ID: O20120418000151

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. Dr Nikisha Holly 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
Dr Nikisha Holly Smith, MD 11315 Pembrooke Sq, Suite 110, Waldorf, MD 20603-4806 Ph: (301) 645-6165	Dr Nikisha Holly Smith, MD 11315 Pembrooke Sq, Suite 110, Waldorf, MD 20603-4806 Ph: (301) 645-6165

Reviews and Comments

Pediatrics Doctors in Waldorf, MD

Dr. Pankaj Vaidya, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3600 Leonardtown Rd, Suite 101, Waldorf, MD 20601 Phone: 301-645-4320 Fax: 301-843-2384
Dr. Adeteju Ogunrinde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 605 Post Office Rd, Suite 102, Waldorf, MD 20602 Phone: 301-870-1789 Fax: 301-374-2662
Om P Chhabra, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3600 Leonardtown Rd, Suite 101, Waldorf, MD 20601 Phone: 301-645-5951 Fax: 301-843-2384
Alexandra Mountford, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Old Washington Rd Ste 101, Waldorf, MD 20602 Phone: 301-885-5020 Fax: 240-419-5217
Dr. Pedro Sarmiento Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11885 Holly Lane, Suite 1, Waldorf, MD 20601 Phone: 301-932-5299 Fax: 301-645-9442
Misha Capri Purnell, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3450 Old Washington Rd Ste 100, Waldorf, MD 20602 Phone: 301-572-3032

Dr Nikisha Holly Smith, MD - Medicare Pediatrics in Waldorf, MD