Stacy Smith, MSN, RN, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Marquez, Texas. Her current practice location is
5345 Fm 3 S, Marquez, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 229-9688.
Stacy Smith is licensed to practice in Texas (license number AP139260) 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 1508338856.
Physician's Profile
| Full Name | Stacy Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 5345 Fm 3 S, Marquez, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508338856
- Provider Enumeration Date: 12/27/2018
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557894334
- Enrollment ID: I20241031003632
Medical Identifiers
Medical identifiers for Stacy Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508338856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | AP139260 (Texas) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP139260 (Texas) | 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. Stacy Smith allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Service Agency, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700067253
PECOS PAC ID: 6305735150
Enrollment ID: O20040612000279 |
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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. Stacy 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 |
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Stacy Smith, MSN, RN, CPNP-PC
5345 Fm 3 S,
Marquez, TX 77865-4303
Ph: () - | Stacy Smith, MSN, RN, CPNP-PC
5345 Fm 3 S,
Marquez, TX 77865-4303
Ph: (979) 229-9688 |
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