Kelly E Smith, FNP-C in Fort Worth, TX - Medicare Nurse Practitioner

Kelly E Smith, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 2550 River Park Plz, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (832) 524-4606.

Kelly E Smith is licensed to practice in Texas (license number 1149617) 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 1629849039.

Contact Information

	Kelly E Smith, FNP-C
	2550 River Park Plz, Fort Worth, TX 76116-0920
	(832) 524-4606
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly E Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2550 River Park Plz, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629849039
Provider Enumeration Date: 01/15/2024
Last Update Date: 01/15/2024

Medicare PECOS Information:

PECOS PAC ID: 8426491069
Enrollment ID: I20240209003433

Medical Identifiers

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

Identifier	Type	State	Issuer
1629849039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1149617 (Texas)	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. Kelly E Smith allows following entities to bill medicare on her behalf.

Entity Name	Quang Trong Le Do Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417954389 PECOS PAC ID: 6800850470 Enrollment ID: O20041113000052

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. Kelly E 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
Kelly E Smith, FNP-C 2550 River Park Plz, Fort Worth, TX 76116-0920 Ph: () -	Kelly E Smith, FNP-C 2550 River Park Plz, Fort Worth, TX 76116-0920 Ph: (832) 524-4606

Reviews and Comments

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Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Kelly E Smith, FNP-C - Medicare Nurse Practitioner in Fort Worth, TX