Kathy Sue Smith, FNP-BC in Eureka, CA - Medicare Nurse Practitioner

Kathy Sue Smith, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Eureka, California. Her current practice location is 2350 Buhne St Ste A, Eureka, California. You can reach out to her office (for appointments etc.) via phone at (707) 443-4593.

Kathy Sue Smith is licensed to practice in California (license number 95006478) 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 1427147347.

Contact Information

	Kathy Sue Smith, FNP-BC
	2350 Buhne St Ste A, Eureka, CA 95501
	(707) 443-4593
	(707) 269-7116

Map and Direction

Provider's Profile

Full Name	Kathy Sue Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2350 Buhne St Ste A, Eureka, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427147347
Provider Enumeration Date: 10/11/2006
Last Update Date: 09/25/2019

Medicare PECOS Information:

PECOS PAC ID: 6709818099
Enrollment ID: I20171127003322

Medical Identifiers

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

Identifier	Type	State	Issuer
1427147347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95006478 (California)	Primary
363LF0000X	Nurse Practitioner - Family	209003581 (Illinois)	Secondary

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. Kathy Sue Smith allows following entities to bill medicare on her behalf.

Entity Name	Open Door Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890

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. Kathy Sue 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
Kathy Sue Smith, FNP-BC 670 9th St Ste 203, Arcata, CA 95521-6249 Ph: (707) 826-8633	Kathy Sue Smith, FNP-BC 2350 Buhne St Ste A, Eureka, CA 95501 Ph: (707) 443-4593

Reviews and Comments

Nurse Practitioner Nurses in Eureka, CA

Elizabeth Wachtel O'brien, CNM, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Walford Ave, Suite B, Eureka, CA 95503 Phone: 707-445-3443 Fax: 707-445-1848
Rachel Hatchimonji, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Harrison Ave, Eureka, CA 95501 Phone: 707-443-9371
Ms. Suzanne Dietz, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054
Kathy Sattler, RN , FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327
Kabou Xiong, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4250
Marice Thomas, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327
Ms. Susan Blankenhorn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990

Kathy Sue Smith, FNP-BC - Medicare Nurse Practitioner in Eureka, CA