Kim K Smith, NP in Bristol, TN - Medicare Nurse Practitioner

Kim K Smith, NP is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Tennessee. Her current practice location is 1 Medical Park Blvd, Bristol, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 282-1480.

Kim K Smith is licensed to practice in Virginia (license number 0024165080) 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 1194723130.

Contact Information

	Kim K Smith, NP
	1 Medical Park Blvd, Bristol, TN 37620-7430
	(423) 282-1480
	(423) 928-1353

Map and Direction

Provider's Profile

Full Name	Kim K Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1 Medical Park Blvd, Bristol, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194723130
Provider Enumeration Date: 07/13/2005
Last Update Date: 10/14/2014

Medicare PECOS Information:

PECOS PAC ID: 3274632229
Enrollment ID: I20070615000618

Medical Identifiers

Medical identifiers for Kim K Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194723130	NPI	-	NPPES
015136910	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024165080 (Virginia)	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. Kim K Smith allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

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. Kim K 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
Kim K Smith, NP 119 Boone Ridge Dr, Johnson City, TN 37615-4998 Ph: (423) 282-1480	Kim K Smith, NP 1 Medical Park Blvd, Bristol, TN 37620-7430 Ph: (423) 282-1480

Reviews and Comments

Nurse Practitioner Nurses in Bristol, TN

Mrs. Kelly Carter Simcox, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 Midway Medical Park, Bristol, TN 37620 Phone: 423-844-6515 Fax: 423-652-2590
Mrs. Theresa M Kalb, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 Redstone Dr Unit 21, Bristol, TN 37620 Phone: 607-351-1793
Kimi Kay Guffey, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2137 Volunteer Pkwy Ste 5, Bristol, TN 37620 Phone: 423-722-5000 Fax: 423-722-5130
Laura Ann Eller, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2298 Highway 126, Bristol, TN 37620 Phone: 307-371-1381
Shellie Rose Butler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2137 Volunteer Parkway, Suite 5, Bristol, TN 37620 Phone: 423-722-5000 Fax: 423-722-5130
Mrs. Jo Anne Roe Viers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Suite 458-w, Bristol, TN 37620 Phone: 423-844-4975 Fax: 423-844-4987
Mikayla B Duncan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 271 Medical Park Blvd, Bristol, TN 37620 Phone: 423-274-8600 Fax: 423-390-6845

Kim K Smith, NP - Medicare Nurse Practitioner in Bristol, TN