Keslie E Smith, NP in Baraboo, WI - Medicare Nurse Practitioner

Keslie E Smith, NP is a medicare enrolled "Nurse Practitioner" in Baraboo, Wisconsin. Her current practice location is 707 14th St, Baraboo, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 252-8003.

Keslie E Smith is licensed to practice in Wisconsin (license number 13664-33) 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 1568161404.

Contact Information

	Keslie E Smith, NP
	707 14th St, Baraboo, WI 53913-1539
	(608) 252-8003
	(608) 356-1554

Map and Direction

Provider's Profile

Full Name	Keslie E Smith
Gender	Female
Speciality	Nurse Practitioner
Location	707 14th St, Baraboo, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568161404
Provider Enumeration Date: 02/28/2023
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7911351150
Enrollment ID: I20230921003623

Medical Identifiers

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

Identifier	Type	State	Issuer
1568161404	NPI	-	NPPES
1568161404	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	13664-33 (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. Keslie E Smith allows following entities to bill medicare on her behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551

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. Keslie 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
Keslie E Smith, NP 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 252-8003	Keslie E Smith, NP 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 252-8003

Reviews and Comments

Nurse Practitioner Nurses in Baraboo, WI

Violet Margaret Laukant, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1626 Tuttle St, Baraboo, WI 53913 Phone: 608-355-2033 Fax: 608-355-6820
Katie Peper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240 Fax: 608-355-5166
Jerry Ray Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1670 South Blvd, Baraboo, WI 53913 Phone: 608-356-9318
Deanna May Dubray, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400
Alexandria Anne Harrison, AGPNP-BC, CANS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 507 Linn St Ste E, Baraboo, WI 53913 Phone: 608-509-7655
Ms. Nicole Louise Koziel, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Tuttle St, Baraboo, WI 53913 Phone: 608-355-3800 Fax: 608-355-7001
Mrs. Kelsy Ruthanne Brill, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1626 Tuttle St, Baraboo, WI 53913 Phone: 608-355-6868 Fax: 608-355-6810

Keslie E Smith, NP - Medicare Nurse Practitioner in Baraboo, WI