Jillian Faith Smith, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Jeffersonville, Indiana. Her current practice location is
301 Gordon Gutmann Blvd Ste 101, Jeffersonville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 282-4844.
Jillian Faith Smith is licensed to practice in Indiana (license number 71013433A) 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 1891408944.
Physician's Profile
| Full Name | Jillian Faith Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 301 Gordon Gutmann Blvd Ste 101, Jeffersonville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891408944
- Provider Enumeration Date: 01/04/2023
- Last Update Date: 04/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870964745
- Enrollment ID: I20230201001038
Medical Identifiers
Medical identifiers for Jillian Faith Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891408944 | NPI | - | NPPES |
| IN2570114 | Other | IN | MEDICARE |
| 300071829 | Medicaid | IN | |
| 7100890880 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 71013433A (Indiana) | Secondary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 71013433A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71013433A (Indiana) | 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. Jillian Faith Smith allows following entities to bill medicare on her behalf.
| Entity Name | Community Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437382074
PECOS PAC ID: 7012811284
Enrollment ID: O20040309000452 |
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| Entity Name | Norton Clark Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083098651
PECOS PAC ID: 0840504114
Enrollment ID: O20150730011797 |
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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. Jillian Faith 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 |
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Jillian Faith Smith, FNP
Po Box 776351,
Chicago, IL 60677-6351
Ph: (502) 559-9337 | Jillian Faith Smith, FNP
301 Gordon Gutmann Blvd Ste 101,
Jeffersonville, IN 47130-3765
Ph: (812) 282-4844 |
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