Angela Elaine Smith, PNP is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" in Pensacola, Florida. Her current practice location is
8331 N Davis Hwy, Pensacola, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 505-4700.
Angela Elaine Smith is licensed to practice in Florida (license number APRN9473715) 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 1821264565.
Provider's Profile
| Full Name | Angela Elaine Smith |
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| Gender | Female |
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| Speciality | Pediatrics - Pediatric Gastroenterology |
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| Location | 8331 N Davis Hwy, Pensacola, Florida |
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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: 1821264565
- Provider Enumeration Date: 05/02/2008
- Last Update Date: 04/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 9739225996
- Enrollment ID: I20180213002574
Medical Identifiers
Medical identifiers for Angela Elaine Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821264565 | NPI | - | NPPES |
| 023348800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | APRN9473715 (Florida) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 130810 (Missouri) | Secondary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | APRN9473715 (Florida) | 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. Angela Elaine Smith allows following entities to bill medicare on her behalf.
| Entity Name | The Nemours Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386658615
PECOS PAC ID: 9537072483
Enrollment ID: O20040109000252 |
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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. Angela Elaine 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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Angela Elaine Smith, PNP
10140 Centurion Pkwy N,
Jacksonville, FL 32256-0532
Ph: (904) 697-4100 | Angela Elaine Smith, PNP
8331 N Davis Hwy,
Pensacola, FL 32514-6094
Ph: (850) 505-4700 |
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