Jackie Smith, in Louisville, KY - Medicare Nurse Practitioner

Jackie Smith, is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Louisville Physicians Inc, Tbd Acquisition Llc and her current practice location is 215 Central Ave Ste 100, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 588-8720.

Jackie Smith is licensed to practice in Kentucky (license number 3009478) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588030688.

Contact Information

	Jackie Smith,
	215 Central Ave Ste 100, Louisville, KY 40208-1450
	(502) 588-8720
	Not Available

Map and Direction

Provider's Profile

Full Name	Jackie Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	215 Central Ave Ste 100, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jackie Smith graduated from nursing school in 2015

NPI Data:

NPI Number: 1588030688
Provider Enumeration Date: 08/12/2015
Last Update Date: 04/28/2022

Medicare PECOS Information:

PECOS PAC ID: 6608183165
Enrollment ID: I20150915003380

Medical Identifiers

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

Identifier	Type	State	Issuer
1588030688	NPI	-	NPPES
7100373600	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3009478 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	3009478 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jewish Hospital & St Mary's Healthcare	Louisville, KY	Hospital
University Of Louisville Hospital	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Louisville Physicians Inc	3476725599	1111
Tbd Acquisition Llc	7911085006	2

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. Jackie Smith allows following entities to bill medicare on her behalf.

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

Entity Name	Tbd Acquisition Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275953754 PECOS PAC ID: 7911085006 Enrollment ID: O20140715001096

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. Jackie 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
Jackie Smith, Po Box 909, Louisville, KY 40201-0909 Ph: () -	Jackie Smith, 215 Central Ave Ste 100, Louisville, KY 40208-1450 Ph: (502) 588-8720

Reviews and Comments

Nurse Practitioner Nurses in Louisville, KY

Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Jackie Smith, - Medicare Nurse Practitioner in Louisville, KY