Kerrie Sanders- Smith, in Vicksburg, MS - Medicare Nurse Practitioner

Kerrie Sanders- Smith, is a medicare enrolled "Nurse Practitioner - Family" in Vicksburg, Mississippi. Her current practice location is 4077 Pemberton Square Blvd, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 638-8600.

Kerrie Sanders- Smith is licensed to practice in Mississippi (license number 875209) 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 1144695669.

Contact Information

	Kerrie Sanders- Smith,
	4077 Pemberton Square Blvd, Vicksburg, MS 39180-5580
	(601) 638-8600
	Not Available

Map and Direction

Provider's Profile

Full Name	Kerrie Sanders- Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4077 Pemberton Square Blvd, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144695669
Provider Enumeration Date: 12/09/2015
Last Update Date: 11/03/2017

Medicare PECOS Information:

PECOS PAC ID: 9537425921
Enrollment ID: I20171120000305

Medical Identifiers

Medical identifiers for Kerrie Sanders- Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144695669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	875209 (Mississippi)	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. Kerrie Sanders- Smith allows following entities to bill medicare on her behalf.

Entity Name	Vicksburg Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738

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. Kerrie Sanders- 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
Kerrie Sanders- Smith, 140 Alfred Dr, Vicksburg, MS 39180-9102 Ph: () -	Kerrie Sanders- Smith, 4077 Pemberton Square Blvd, Vicksburg, MS 39180-5580 Ph: (601) 638-8600

Reviews and Comments

Nurse Practitioner Nurses in Vicksburg, MS

Mrs. Brittany Sharda Barnes, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 919 Mission 66, Vicksburg, MS 39183 Phone: 601-262-2922
Mrs. Kimberly Fuller, MSN, ACNP - BS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Mrs. Latasha Jackson Claiborne, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Nina Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356
Linda Cheslek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356
Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 Highway 61 N, Vicksburg, MS 39183 Phone: 014-562-2776 Fax: 601-456-2622

Kerrie Sanders- Smith, - Medicare Nurse Practitioner in Vicksburg, MS