Casey Joe Smith, FNPC is a
Nurse Practitioner - Family based in Heyburn, Idaho. Casey Joe Smith is licensed to practice in Idaho (license number 70138) and his current practice location is
312 S 950 W, Heyburn, Idaho. He can be reached at his office (for appointments etc.) via phone at
(801) 484-4479.
NPI number for Casey Joe Smith is 1023524196 and his current mailing address is 312 S 950 W, Heyburn, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023524196.
Provider's Profile
| Full Name | Casey Joe Smith |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 312 S 950 W, Heyburn, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023524196
- Provider Enumeration Date: 12/27/2017
- Last Update Date: 01/29/2025
Medical Identifiers
Medical identifiers for Casey Joe Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023524196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 70138 (Idaho) | Primary |
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. Casey Joe Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Casey Joe Smith, FNPC
312 S 950 W,
Heyburn, ID 83336-9765
Ph: (801) 564-4479 | Casey Joe Smith, FNPC
312 S 950 W,
Heyburn, ID 83336-9765
Ph: (801) 484-4479 |
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