Kristie Jo Smith, MSN, RN, FNP in Leesburg, GA

Kristie Jo Smith, MSN, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Leesburg, Georgia. Her current practice location is 118 Johns Dr, Leesburg, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 438-7051.

Kristie Jo Smith is licensed to practice in Georgia (license number RN152744) 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 1821323304.

Contact Information

	Kristie Jo Smith, MSN, RN, FNP
	118 Johns Dr, Leesburg, GA 31763-4506
	(229) 438-7051
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristie Jo Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	118 Johns Dr, Leesburg, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821323304
Provider Enumeration Date: 10/16/2009
Last Update Date: 10/16/2009

Medicare PECOS Information:

PECOS PAC ID: 0143549410
Enrollment ID: I20150507002662

Medical Identifiers

Medical identifiers for Kristie Jo Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821323304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN152744 (Georgia)	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. Kristie Jo Smith allows following entities to bill medicare on her behalf.

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

Entity Name	Onesource Healthcare Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609207034 PECOS PAC ID: 4284864810 Enrollment ID: O20140227001514

Entity Name	Kjh Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912481482 PECOS PAC ID: 2668716960 Enrollment ID: O20181127001933

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. Kristie Jo 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
Kristie Jo Smith, MSN, RN, FNP 118 Johns Dr, Leesburg, GA 31763-4506 Ph: (229) 438-7051	Kristie Jo Smith, MSN, RN, FNP 118 Johns Dr, Leesburg, GA 31763-4506 Ph: (229) 438-7051

Reviews and Comments

Nurse Practitioner Nurses in Leesburg, GA

Michelle Mendez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028 Fax: 229-759-7030
Eddie Jean Truelove, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1578 Us Highway 19 S Apt 113, Leesburg, GA 31763 Phone: 901-603-5890
Schvon Bussey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Pine Arbor Dr, Leesburg, GA 31763 Phone: 706-593-9263
Mrs. April Michelle Johnson, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028
Stacie L Rolland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-312-7490 Fax: 229-312-7495
Imiyah Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1224 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-312-7401
Gail Miranda Ricker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028 Fax: 229-759-7030

Kristie Jo Smith, MSN, RN, FNP - Medicare Nurse Practitioner in Leesburg, GA