Destiny Smith, FNP-C in Fort Worth, TX - Medicare Nurse Practitioner

Destiny Smith, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 4115 E Lancaster Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 796-7370.

Destiny Smith is licensed to practice in Texas (license number AP123512) 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 1063857654.

Contact Information

	Destiny Smith, FNP-C
	4115 E Lancaster Ave, Fort Worth, TX 76103-3614
	(817) 796-7370
	Not Available

Map and Direction

Provider's Profile

Full Name	Destiny Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4115 E Lancaster Ave, 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: 1063857654
Provider Enumeration Date: 05/08/2013
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 3173745734
Enrollment ID: I20141114000930

Medical Identifiers

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

Identifier	Type	State	Issuer
1063857654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP123512 (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. Destiny Smith allows following entities to bill medicare on her behalf.

Entity Name	Wellmed Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437156486 PECOS PAC ID: 4880657386 Enrollment ID: O20041105000519

Entity Name	D&j Grace Team Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093062937 PECOS PAC ID: 0143477729 Enrollment ID: O20120904000776

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. Destiny 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
Destiny Smith, FNP-C Po Box 746079, Atlanta, GA 30374-6079 Ph: (312) 733-9730	Destiny Smith, FNP-C 4115 E Lancaster Ave, Fort Worth, TX 76103-3614 Ph: (817) 796-7370

Reviews and Comments

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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

Destiny Smith, FNP-C - Medicare Nurse Practitioner in Fort Worth, TX