Shani Kamaria Smith, DO, MBA in Olympia Fields, IL - Medicare Critical Care (intensivists)

Shani Kamaria Smith, DO, MBA is a medicare enrolled "Internal Medicine" physician in Olympia Fields, Illinois. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice Banner Hospital Based Physicians West Llc, Hospitalist Medicine Physicians Of Maryland-laurel Pc, Johns Hopkins Community Physicians and her current practice location is 3700 W 203rd St Ste 204, Olympia Fields, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 709-6295.

Shani Kamaria Smith is licensed to practice in Illinois (license number 036.130820) 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 1659674240.

Contact Information

	Shani Kamaria Smith, DO, MBA
	3700 W 203rd St Ste 204, Olympia Fields, IL 60461-1182
	(708) 709-6295
	Not Available

Map and Direction

Physician's Profile

Full Name	Shani Kamaria Smith
Gender	Female
Speciality	Critical Care (intensivists)
Experience	17 Years
Location	3700 W 203rd St Ste 204, Olympia Fields, Illinois
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:

Shani Kamaria Smith attended and graduated from Philadelphia College Of Osteopathic Medicine in 2007

NPI Data:

NPI Number: 1659674240
Provider Enumeration Date: 12/21/2010
Last Update Date: 07/28/2021

Medicare PECOS Information:

PECOS PAC ID: 3577790906
Enrollment ID: I20230327001594

Medical Identifiers

Medical identifiers for Shani Kamaria Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659674240	NPI	-	NPPES
F00280905	Other	IL	MEDICARE IL PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036.130820 (Illinois)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	036.130820 (Illinois)	Secondary
207R00000X	Internal Medicine	036.130820 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wyoming Medical Center	Casper, WY	Hospital
Howard County General Hospital	Columbia, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Hospital Based Physicians West Llc	5799131579	8
Hospitalist Medicine Physicians Of Maryland-laurel Pc	1456763481	20
Johns Hopkins Community Physicians	8325943707	568

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. Shani Kamaria Smith allows following entities to bill medicare on her behalf.

Entity Name	Banner Hospital Based Physicians West Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619464120 PECOS PAC ID: 5799131579 Enrollment ID: O20231031001364

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. Shani Kamaria 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
Shani Kamaria Smith, DO, MBA 35318 Eagle Way, Chicago, IL 60678-1353 Ph: (317) 528-4800	Shani Kamaria Smith, DO, MBA 3700 W 203rd St Ste 204, Olympia Fields, IL 60461-1182 Ph: (708) 709-6295

Reviews and Comments

Internal Medicine Doctors in Olympia Fields, IL

Mr. Praneet Satyendra Mylavarapu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-855-7297 Fax: 708-503-3296
Chintan Shah, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000
Albara Said, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3302 Vollmer Rd, Olympia Fields, IL 60461 Phone: 708-898-0811 Fax: 708-898-1839
Anand Kumar Gupta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-679-2160 Fax: 708-679-2161
Dr. Matthew L Kamin, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-679-2670 Fax: 708-503-3260
Dr. Edward Joseph Winter, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20945 Cambridge Ln, Olympia Fields, IL 60461 Phone: 708-747-6929 Fax: 708-747-6929
Dr. Savio G Manatt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20060 Governors Dr Ste 204, Olympia Fields, IL 60461 Phone: 708-283-8300 Fax: 708-283-9245

Shani Kamaria Smith, DO, MBA - Medicare Critical Care (intensivists) in Olympia Fields, IL