Brenda Smith, NURSE PRACTITIONER in Upland, CA

Brenda Smith, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Upland, California. Her current practice location is 918 W Foothill Blvd, Upland, California. You can reach out to her office (for appointments etc.) via phone at (909) 890-5511.

Brenda Smith is licensed to practice in Illinois (license number 209011357 041325955) 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 1447678081.

Contact Information

	Brenda Smith, NURSE PRACTITIONER
	918 W Foothill Blvd, Upland, CA 91786-3772
	(909) 890-5511
	Not Available

Map and Direction

Provider's Profile

Full Name	Brenda Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	918 W Foothill Blvd, Upland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447678081
Provider Enumeration Date: 04/01/2014
Last Update Date: 11/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3779708631
Enrollment ID: I20240507003188

Medical Identifiers

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

Identifier	Type	State	Issuer
1447678081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209011357 041325955 (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. Brenda Smith allows following entities to bill medicare on her behalf.

Entity Name	Molina Healthcare Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348

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. Brenda 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
Brenda Smith, NURSE PRACTITIONER 801 E Katella Ave, Anaheim, CA 92805-6614 Ph: () -	Brenda Smith, NURSE PRACTITIONER 918 W Foothill Blvd, Upland, CA 91786-3772 Ph: (909) 890-5511

Reviews and Comments

Nurse Practitioner Nurses in Upland, CA

Stephanie J Rasmussen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811
Yusleydys Panade Roman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1020 W 16th St, Upland, CA 91784 Phone: 626-642-6977
Madonna Zand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 San Bernardino Rd, 205, Upland, CA 91786 Phone: 909-981-9991
Michelle Jessica Carhill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Upland, CA 91786 Phone: 909-608-7546
Bernice Tan, DNP NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 N 13th Ave Ste 204, Upland, CA 91786 Phone: 909-920-0525
Dani Achi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 N Mountain Ave Ste 113, Upland, CA 91784 Phone: 909-377-0030
Mrs. Mina Grasso, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1113 Alta Ave Ste 210, Upland, Upland, CA 91786 Phone: 909-982-1074 Fax: 909-982-3104

Brenda Smith, NURSE PRACTITIONER - Medicare Nurse Practitioner in Upland, CA