Rashonda Latissa Mintz-smith, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Concord, North Carolina. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolinas Physicians Network Inc and her current practice location is
920 Church St N, Suite 255, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 403-1331.
Rashonda Latissa Mintz-smith is licensed to practice in North Carolina (license number 5001297) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265487763.
Physician's Profile
Full Name | Rashonda Latissa Mintz-smith |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 19 Years |
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Location | 920 Church St N, Concord, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Rashonda Latissa Mintz-smith graduated from medical school in 2005
NPI Data:
- NPI Number: 1265487763
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103828470
- Enrollment ID: I20070215000606
Medical Identifiers
Medical identifiers for Rashonda Latissa Mintz-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265487763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 5001297 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5001297 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5001297 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Carolinas Physicians Network Inc | 3375449655 | 1649 |
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. Rashonda Latissa Mintz-smith allows following entities to bill medicare on her behalf.
Entity Name | Carolinas Physicians Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455 |
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Entity Name | Carolinas Physicians Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
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Entity Name | Eastland Urgent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467481127 PECOS PAC ID: 6305852591 Enrollment ID: O20060224000538 |
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Entity Name | Arboretum Urgent Care Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457380313 PECOS PAC ID: 8325059991 Enrollment ID: O20060510000344 |
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Entity Name | Steele Creek Urgent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750317921 PECOS PAC ID: 9234130907 Enrollment ID: O20070123000481 |
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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. Rashonda Latissa Mintz-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 |
Rashonda Latissa Mintz-smith, FNP Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Rashonda Latissa Mintz-smith, FNP 920 Church St N, Suite 255, Concord, NC 28025-2927 Ph: (704) 403-1331 |
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