Micah A Smith, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Charlottesville, Virginia. His current practice location is
1215 Lee St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 924-2283.
Micah A Smith is licensed to practice in Virginia (license number 0024188319) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356122675.
Physician's Profile
| Full Name | Micah A Smith |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 1215 Lee St, Charlottesville, Virginia |
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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: 1356122675
- Provider Enumeration Date: 10/12/2023
- Last Update Date: 11/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264888288
- Enrollment ID: I20231027001440
Medical Identifiers
Medical identifiers for Micah A Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356122675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LC0200X | Anesthesiology - Critical Care Medicine | 0024188319 (Virginia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 0024188319 (Virginia) | 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. Micah A Smith allows following entities to bill medicare on his behalf.
| Entity Name | University Of Virginia Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780 |
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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. Micah A 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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Micah A Smith, AG-ACNP
Po Box 9007,
Charlottesville, VA 22906-9007
Ph: () - | Micah A Smith, AG-ACNP
1215 Lee St,
Charlottesville, VA 22908-0816
Ph: (434) 924-2283 |
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