Eliza J Smith, NP in Mattoon, IL - Medicare Nurse Practitioner

Eliza J Smith, NP is a medicare enrolled "Nurse Practitioner" in Mattoon, Illinois. Her current practice location is 1201 Wooddell Way Ste B, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 238-3000.

Eliza J Smith is licensed to practice in Illinois (license number 209007289) 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 1972754000.

Contact Information

	Eliza J Smith, NP
	1201 Wooddell Way Ste B, Mattoon, IL 61938-1014
	(217) 238-3000
	(217) 238-3008

Map and Direction

Provider's Profile

Full Name	Eliza J Smith
Gender	Female
Speciality	Nurse Practitioner
Location	1201 Wooddell Way Ste B, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972754000
Provider Enumeration Date: 10/07/2008
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1456415082
Enrollment ID: I20090127000418

Medical Identifiers

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

Identifier	Type	State	Issuer
1972754000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209007289 (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. Eliza J Smith allows following entities to bill medicare on her behalf.

Entity Name	Sarah Bush Lincoln Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478

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. Eliza J 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
Eliza J Smith, NP Po Box 372, Mattoon, IL 61938-0372 Ph: () -	Eliza J Smith, NP 1201 Wooddell Way Ste B, Mattoon, IL 61938-1014 Ph: (217) 238-3000

Reviews and Comments

Nurse Practitioner Nurses in Mattoon, IL

Diana L. Oakley, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 104, Mattoon, IL 61938 Phone: 217-258-2178 Fax: 217-258-4024
Penelope Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053
Emily N Hardiek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686
Robert C Atchley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551
Loring Barr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323
Mrs. Stacey Tebbe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Coles Centre Dr, Mattoon, IL 61938 Phone: 217-234-5110
Tonya Sue White, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Lake Land Blvd, Mattoon, IL 61938 Phone: 217-258-3370

Eliza J Smith, NP - Medicare Nurse Practitioner in Mattoon, IL