Danica Larissa Smith, in Fort Worth, TX - Medicare Nurse Practitioner

Danica Larissa Smith, is a medicare enrolled "Nurse Practitioner - Primary Care" in Fort Worth, Texas. Her current practice location is 10601 N Riverside Dr, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 347-2600.

Danica Larissa Smith is licensed to practice in Texas (license number AP133024) 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 1699212795.

Contact Information

	Danica Larissa Smith,
	10601 N Riverside Dr, Fort Worth, TX 76244-2118
	(817) 347-2600
	(817) 347-2670

Map and Direction

Provider's Profile

Full Name	Danica Larissa Smith
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	10601 N Riverside Dr, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699212795
Provider Enumeration Date: 01/26/2017
Last Update Date: 04/13/2021

Medicare PECOS Information:

PECOS PAC ID: 4688959174
Enrollment ID: I20170324000508

Medical Identifiers

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

Identifier	Type	State	Issuer
1699212795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	AP133024 (Texas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP133024 (Texas)	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. Danica Larissa Smith allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Danica Larissa 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
Danica Larissa Smith, Po Box 99213, Fort Worth, TX 76199-0213 Ph: (682) 885-1860	Danica Larissa Smith, 10601 N Riverside Dr, Fort Worth, TX 76244-2118 Ph: (817) 347-2600

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287
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Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Danica Larissa Smith, - Medicare Nurse Practitioner in Fort Worth, TX