Dr Sheronda Smith, DNP, FNP, AG-ACNP in Jackson, MS

Dr Sheronda Smith, DNP, FNP, AG-ACNP is a medicare enrolled "Nurse Practitioner" in Jackson, Mississippi. Her current practice location is 766 Lakeland Dr Ste A, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 383-3440.

Dr Sheronda Smith is licensed to practice in Mississippi (license number 902395) 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 1720599376.

Contact Information

	Dr Sheronda Smith, DNP, FNP, AG-ACNP
	766 Lakeland Dr Ste A, Jackson, MS 39216-4610
	(601) 383-3440
	(601) 368-3441

Map and Direction

Provider's Profile

Full Name	Dr Sheronda Smith
Gender	Female
Speciality	Nurse Practitioner
Location	766 Lakeland Dr Ste A, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720599376
Provider Enumeration Date: 10/22/2017
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0941556880
Enrollment ID: I20180706000503

Medical Identifiers

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

Identifier	Type	State	Issuer
1720599376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	889439 (Mississippi)	Secondary
363L00000X	Nurse Practitioner	23370 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	902395 (Mississippi)	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. Dr Sheronda Smith allows following entities to bill medicare on her behalf.

Entity Name	Ms State Department Of Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937

Entity Name	Tunica County Healthcare Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245360148 PECOS PAC ID: 6608898499 Enrollment ID: O20051221000245

Entity Name	Aids Healthcare Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255688057 PECOS PAC ID: 2668369109 Enrollment ID: O20151005003100

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. Dr Sheronda 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
Dr Sheronda Smith, DNP, FNP, AG-ACNP 6255 W Sunset Blvd Fl 21, Los Angeles, CA 90028-7422 Ph: (323) 860-5200	Dr Sheronda Smith, DNP, FNP, AG-ACNP 766 Lakeland Dr Ste A, Jackson, MS 39216-4610 Ph: (601) 383-3440

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Dr Sheronda Smith, DNP, FNP, AG-ACNP - Medicare Nurse Practitioner in Jackson, MS