Ms Yashica Mickiela Smith, APN is a medicare enrolled "Nurse Practitioner - Family" physician in Bronx, New York. Her current practice location is
2015 Grand Concourse, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 299-7295.
Ms Yashica Mickiela Smith is licensed to practice in New York (license number F346352) 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 1659994895.
Physician's Profile
Full Name | Ms Yashica Mickiela Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2015 Grand Concourse, Bronx, New York |
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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: 1659994895
- Provider Enumeration Date: 05/22/2020
- Last Update Date: 08/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638598196
- Enrollment ID: I20201001002684
Medical Identifiers
Medical identifiers for Ms Yashica Mickiela Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659994895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 26NJ01034400 (New Jersey) | Secondary |
363LF0000X | Nurse Practitioner - Family | F346352 (New York) | 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. Ms Yashica Mickiela Smith allows following entities to bill medicare on her behalf.
Entity Name | House Call Medical Services Of New York Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427 |
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Entity Name | Essen Medical Urgicare, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903 |
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Entity Name | Brookview Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532 |
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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. Ms Yashica Mickiela 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 |
Ms Yashica Mickiela Smith, APN 1434 Williamsbridge Rd Fl 2, Bronx, NY 10461-2507 Ph: (718) 618-0401 | Ms Yashica Mickiela Smith, APN 2015 Grand Concourse, Bronx, NY 10453-4303 Ph: (718) 299-7295 |
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