Jaclyn Smith, CNM is a medicare enrolled "Advanced Practice Midwife" in Westwood, New Jersey. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Valley Physician Services Pc and her current practice location is
270 Old Hook Rd, Westwood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 358-0505.
Jaclyn Smith is licensed to practice in New Jersey (license number 25ME00054101) 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 1609203629.
Provider's Profile
| Full Name | Jaclyn Smith |
|---|
| Gender | Female |
|---|
| Speciality | Certified Nurse Midwife (cnm) |
|---|
| Experience | 11 Years |
|---|
| Location | 270 Old Hook Rd, Westwood, New Jersey |
|---|
| 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:
- Jaclyn Smith graduated from nursing school in 2013
NPI Data:
- NPI Number: 1609203629
- Provider Enumeration Date: 10/04/2013
- Last Update Date: 10/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 4385990555
- Enrollment ID: I20180629001654
Medical Identifiers
Medical identifiers for Jaclyn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609203629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 25ME00054101 (New Jersey) | Primary |
| 367A00000X | Advanced Practice Midwife | 25ME00054100 (New Jersey) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Valley Physician Services Pc | 3577857333 | 415 |
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. Jaclyn Smith allows following entities to bill medicare on her behalf.
| Entity Name | Lifeline Medical Associates Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1821041617
PECOS PAC ID: 1456332170
Enrollment ID: O20040528000067 |
|---|
| Entity Name | Valley Physician Services Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1467815928
PECOS PAC ID: 3577857333
Enrollment ID: O20160802002824 |
|---|
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. Jaclyn 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 |
|---|
Jaclyn Smith, CNM
3 Cross St, Unit 202,
Suffern, NY 10901-4622
Ph: (845) 596-4788 | Jaclyn Smith, CNM
270 Old Hook Rd,
Westwood, NJ 07675-3117
Ph: (201) 358-0505 |
Reviews and Comments