Kelley Lynn Smith, APNP in Neenah, WI - Medicare Nurse Practitioner

Kelley Lynn Smith, APNP is a medicare enrolled "Nurse Practitioner - Family" in Neenah, Wisconsin. Her current practice location is 333 N Green Bay Rd, Neenah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 725-2070.

Kelley Lynn Smith is licensed to practice in Wisconsin (license number 14415-33) 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 1205610862.

Contact Information

	Kelley Lynn Smith, APNP
	333 N Green Bay Rd, Neenah, WI 54956-1954
	(920) 725-2070
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelley Lynn Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	333 N Green Bay Rd, Neenah, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205610862
Provider Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0042667222
Enrollment ID: I20231109000997

Medical Identifiers

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

Identifier	Type	State	Issuer
1205610862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	14415-33 (Wisconsin)	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. Kelley Lynn Smith allows following entities to bill medicare on her behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Kelley Lynn 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
Kelley Lynn Smith, APNP 333 N Green Bay Rd, Neenah, WI 54956-1954 Ph: (920) 725-2070	Kelley Lynn Smith, APNP 333 N Green Bay Rd, Neenah, WI 54956-1954 Ph: (920) 725-2070

Reviews and Comments

Nurse Practitioner Nurses in Neenah, WI

Mrs. Amanda Kay Douma, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 N Green Bay Rd Ste B, Neenah, WI 54956 Phone: 920-454-7130
Lori A. Franck, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527
Mrs. Bonnie B Hoersch, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738 Fax: 920-729-3023
Pamela Macwilliams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St Ste 197, Neenah, WI 54956 Phone: 920-729-2030
Mrs. Carissa Jo Ranieri, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 W American Dr, Neenah, WI 54956 Phone: 920-430-8113
Ellen Beltz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738
Marie K Dziewit, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527 Fax: 920-729-2378

Kelley Lynn Smith, APNP - Medicare Nurse Practitioner in Neenah, WI