Mrs Nicole Elizabeth Smith, APN is a medicare enrolled "Nurse Practitioner - Family" physician in Neptune, New Jersey. Her current practice location is
1945 Nj-33, Jsumc-inpatient Wound Care, Neptune, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 776-4680.
Mrs Nicole Elizabeth Smith is licensed to practice in New Jersey (license number 26NJ01097600) 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 1013590876.
Physician's Profile
Full Name | Mrs Nicole Elizabeth Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1945 Nj-33, Neptune, New Jersey |
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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: 1013590876
- Provider Enumeration Date: 04/29/2021
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840692463
- Enrollment ID: I20210706000957
Medical Identifiers
Medical identifiers for Mrs Nicole Elizabeth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013590876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 26NJ01097600 (New Jersey) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ01097600 (New Jersey) | 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 Nicole Elizabeth Smith allows following entities to bill medicare on her behalf.
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
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Entity Name | Amor Mehta Md- Neurology Center For Epilepsy And Seizures, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174006233 PECOS PAC ID: 7911241542 Enrollment ID: O20181207001183 |
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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 Nicole Elizabeth 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 Nicole Elizabeth Smith, APN 331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792 Ph: () - | Mrs Nicole Elizabeth Smith, APN 1945 Nj-33, Jsumc-inpatient Wound Care, Neptune, NJ 07753 Ph: (732) 776-4680 |
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