Charles William Smith, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kettleman City, California. His current practice location is
304 Becky Pease, Kettleman City, California. You can reach out to his office (for appointments etc.) via phone at
(559) 386-4501.
Charles William Smith is licensed to practice in California (license number 5247) 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 1871631895.
Provider's Profile
| Full Name | Charles William Smith |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 304 Becky Pease, Kettleman City, California |
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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: 1871631895
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 11/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921051707
- Enrollment ID: I20150917003151
Medical Identifiers
Medical identifiers for Charles William Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871631895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 5247 (California) | 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. Charles William 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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Charles William Smith, FNP
Po Box 700,
Avenal, CA 93204-0700
Ph: (559) 386-4500 | Charles William Smith, FNP
304 Becky Pease,
Kettleman City, CA 93239
Ph: (559) 386-4501 |
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