John D Smith Iii, CRNP in Gulfport, MS - Medicare Nurse Practitioner

John D Smith Iii, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Gulfport, Mississippi. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Singing River Gulfport, Exceed Physical Therapy Llc and his current practice location is 15190 Community Rd Ste 120, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 205-6825.

John D Smith Iii is licensed to practice in Mississippi (license number R871827) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114021359.

Contact Information

	John D Smith Iii, CRNP
	15190 Community Rd Ste 120, Gulfport, MS 39503-3484
	(228) 205-6825
	(228) 831-8782

Map and Direction

Provider's Profile

Full Name	John D Smith Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	19 Years
Location	15190 Community Rd Ste 120, Gulfport, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John D Smith Iii graduated from nursing school in 2005

NPI Data:

NPI Number: 1114021359
Provider Enumeration Date: 09/08/2006
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4789680323
Enrollment ID: I20061004000663

Medical Identifiers

Medical identifiers for John D Smith Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114021359	NPI	-	NPPES
003101732	Medicaid	MS
5707330001	Other	MS	NSC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R871827 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Garden Park Medical Center	Gulfport, MS	Hospital
Singing River Health System	Pascagoula, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Singing River Gulfport	5294154829	107
Exceed Physical Therapy Llc	8123378338	56

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. John D Smith Iii allows following entities to bill medicare on his behalf.

Entity Name	Mississippi Orthopaedic Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659575728 PECOS PAC ID: 6901827765 Enrollment ID: O20051208000735

Entity Name	Singing River Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497

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. John D Smith Iii 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
John D Smith Iii, CRNP 15190 Community Rd Ste 120, Gulfport, MS 39503-3484 Ph: (228) 205-6825	John D Smith Iii, CRNP 15190 Community Rd Ste 120, Gulfport, MS 39503-3484 Ph: (228) 205-6825

Reviews and Comments

Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503 Phone: 228-575-2176
Tracy Leigh Ladner, C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Heather Lyn Jeffrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Leigh P Drace, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507 Phone: 228-896-4417 Fax: 228-604-0121
Ashley Barq House, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598
Mrs. Carla Ann Rushing, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Michelle Wright Taylor, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503 Phone: 228-539-3356

John D Smith Iii, CRNP - Medicare Nurse Practitioner in Gulfport, MS