Avery Smith, CRNA - Medicare Nurse Anesthetist, Certified Registered in Chicago, IL

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Avery Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chicago, Illinois. His current practice location is 1101 W Pratt Blvd Apt 2w, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 953-0564.

Avery Smith is licensed to practice in Illinois (license number 209027680) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124799655.

Contact Information

Avery Smith, CRNA
1101 W Pratt Blvd Apt 2w,
Chicago, IL 60626-4477
(312) 953-0564
Not Available

Map and Direction




Provider's Profile

Full NameAvery Smith
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1101 W Pratt Blvd Apt 2w, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124799655
  • Provider Enumeration Date: 09/23/2021
  • Last Update Date: 06/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678932381
  • Enrollment ID: I20230628003530

Medical Identifiers

Medical identifiers for Avery Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124799655NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041400420 (Illinois)Secondary
163W00000XRegistered Nurse 25878830 (Wisconsin)Secondary
367500000XNurse Anesthetist, Certified Registered 209027680 (Illinois)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. Avery Smith allows following entities to bill medicare on his behalf.
Entity NameNorth American Partners In Anesthesia Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699032524
PECOS PAC ID: 1052576519
Enrollment ID: O20120706000534
Entity Name360 Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811637366
PECOS PAC ID: 5991184863
Enrollment ID: O20230322000939

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. Avery 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 AddressPractice Location Address
Avery Smith, CRNA
1101 W Pratt Blvd Apt 2w,
Chicago, IL 60626-4477

Ph: (312) 953-0564		Avery Smith, CRNA
1101 W Pratt Blvd Apt 2w,
Chicago, IL 60626-4477

Ph: (312) 953-0564

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Chicago, IL

Mrs. Bonnie Devroe Malik, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611
Phone: 312-695-9797    
Debra Farida,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 836 W Wellington Ave, Chicago, IL 60657
Phone: 773-975-1600    
Shannon R Galvin, M.D.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 251 E Huron St Ste 5-704, Chicago, IL 60611
Phone: 312-695-0061    Fax: 312-695-9013
Flordelina B Corpus, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 850 W Irving Park Rd, Chicago, IL 60613
Phone: 773-975-6705    
Mr. Jeremy Philip Carlsen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 251 E Huron St, Feinberg 5-704, Chicago, IL 60611
Phone: 312-926-8369    
Christopher Glenn, CRNA, MSN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1740 W Taylor St, 3200w, Chicago, IL 60612
Phone: 312-996-4020    
Christopher Payne,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1950 W Polk St, Chicago, IL 60612
Phone: 312-864-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.