Ebony Michaela Smith, WHNP in New York, NY - Medicare Nurse Practitioner

Ebony Michaela Smith, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in New York, New York. Her current practice location is 61 Broadway, Ste 1313, New York, New York. You can reach out to her office (for appointments etc.) via phone at (914) 919-9200.

Ebony Michaela Smith is licensed to practice in Tennessee (license number 18029) 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 1487082699.

Contact Information

	Ebony Michaela Smith, WHNP
	61 Broadway, Ste 1313, New York, NY 10006-2754
	(914) 919-9200
	Not Available

Map and Direction

Provider's Profile

Full Name	Ebony Michaela Smith
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	61 Broadway, Ste 1313, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487082699
Provider Enumeration Date: 10/25/2013
Last Update Date: 11/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5092941153
Enrollment ID: I20131119000939

Medical Identifiers

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

Identifier	Type	State	Issuer
1487082699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	905954 (Mississippi)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	18029 (Tennessee)	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. Ebony Michaela Smith allows following entities to bill medicare on her behalf.

Entity Name	Ut Regional One Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662

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. Ebony Michaela 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
Ebony Michaela Smith, WHNP 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: () -	Ebony Michaela Smith, WHNP 61 Broadway, Ste 1313, New York, NY 10006-2754 Ph: (914) 919-9200

Reviews and Comments

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Ebony Michaela Smith, WHNP - Medicare Nurse Practitioner in New York, NY