Mrs Lyla Marie Smith, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Starke, Florida. Her current practice location is
550 Georgia St, Starke, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 364-2900.
Mrs Lyla Marie Smith is licensed to practice in Florida (license number APRN11018606) 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 1508470527.
Physician's Profile
Full Name | Mrs Lyla Marie Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 550 Georgia St, Starke, 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: 1508470527
- Provider Enumeration Date: 09/08/2020
- Last Update Date: 11/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092199455
- Enrollment ID: I20220902000493
Medical Identifiers
Medical identifiers for Mrs Lyla Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508470527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2149562 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11018606 (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. Mrs Lyla Marie Smith allows following entities to bill medicare on her behalf.
Entity Name | Trenton Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801826268 PECOS PAC ID: 2365359387 Enrollment ID: O20050428000865 |
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Entity Name | Coastal Plus Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407172018 PECOS PAC ID: 1153693577 Enrollment ID: O20170821001064 |
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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. Mrs Lyla Marie 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 |
Mrs Lyla Marie Smith, APRN, FNP-C 23343 Nw County Road 236, High Springs, FL 32643-9669 Ph: (386) 454-0698 | Mrs Lyla Marie Smith, APRN, FNP-C 550 Georgia St, Starke, FL 32091-1816 Ph: (904) 364-2900 |
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