Danielle Smith, in Pekin, IL - Medicare Nurse Practitioner

Danielle Smith, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pekin, Illinois. Her current practice location is 2205 State St, Pekin, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 453-0812.

Danielle Smith is licensed to practice in Illinois (license number 209023572) 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 1962075382.

Contact Information

	Danielle Smith,
	2205 State St, Pekin, IL 61554-3936
	(309) 453-0812
	Not Available

Map and Direction

Provider's Profile

Full Name	Danielle Smith
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2205 State St, Pekin, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962075382
Provider Enumeration Date: 07/22/2021
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0345644902
Enrollment ID: I20230830003658

Medical Identifiers

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

Identifier	Type	State	Issuer
1962075382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209023572 (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. Danielle Smith allows following entities to bill medicare on her behalf.

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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. Danielle 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
Danielle Smith, 2205 State St, Pekin, IL 61554-3936 Ph: (309) 453-0812	Danielle Smith, 2205 State St, Pekin, IL 61554-3936 Ph: (309) 453-0812

Reviews and Comments

Nurse Practitioner Nurses in Pekin, IL

Emily Crebo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Park Ave, Pekin, IL 61554 Phone: 309-346-7776
Kayla Ferman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-1822
Madeline Jo Gresham, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 Olt Ave, Pekin, IL 61554 Phone: 309-680-7600 Fax: 309-353-3334
Jami Michelle Wallace, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-6301
Shauna L Bivens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Griffin Ave., Pekin, IL 61554 Phone: 309-347-4277 Fax: 309-347-4388
Theresa Abbadusky, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416
Bridget Lynn Welker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416

Danielle Smith, - Medicare Nurse Practitioner in Pekin, IL