Abigail Smith, is a medicare enrolled "Nurse Practitioner - Gerontology" in Racine, Ohio. Her current practice location is
808 Walnut St, Racine, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 418-3833.
Abigail Smith is licensed to practice in Ohio (license number APRN.CNP.0035168) 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 1720860620.
Provider's Profile
Full Name | Abigail Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 808 Walnut St, Racine, Ohio |
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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: 1720860620
- Provider Enumeration Date: 10/16/2023
- Last Update Date: 10/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507213832
- Enrollment ID: I20231108002256
Medical Identifiers
Medical identifiers for Abigail Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720860620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.0035168 (Ohio) | 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. Abigail Smith allows following entities to bill medicare on her behalf.
Entity Name | Skyline Wound Care, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407343601 PECOS PAC ID: 5294080404 Enrollment ID: O20220709000712 |
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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. Abigail 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 |
Abigail Smith, 808 Walnut St, Racine, OH 45771-5004 Ph: (740) 418-3833 | Abigail Smith, 808 Walnut St, Racine, OH 45771-5004 Ph: (740) 418-3833 |
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