Holly Gwen Smith, MD is a medicare enrolled "Pediatrics" physician in Wesley Chapel, North Carolina. Her current practice location is
6488 Weddington-monroe Rd, Wesley Chapel, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 384-8460.
Holly Gwen Smith is licensed to practice in North Carolina (license number 2005-00116) 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 1689749418.
Physician's Profile
Full Name | Holly Gwen Smith |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 6488 Weddington-monroe Rd, Wesley Chapel, 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: 1689749418
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 10/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 7416295050
- Enrollment ID: I20190206003003
Medical Identifiers
Medical identifiers for Holly Gwen Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689749418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 2005-00116 (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. Holly Gwen Smith allows following entities to bill medicare on her behalf.
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
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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. Holly Gwen 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 |
Holly Gwen Smith, MD 6115 Park South Dr, Suite 105, Charlotte, NC 28210-3269 Ph: (704) 944-8388 | Holly Gwen Smith, MD 6488 Weddington-monroe Rd, Wesley Chapel, NC 28104-6277 Ph: (704) 384-8460 |
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