Lisa Marie Smith, CRNP in Broomall, PA - Medicare Nurse Practitioner

Lisa Marie Smith, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Broomall, Pennsylvania. Her current practice location is 600 Abbott Dr, Broomall, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (888) 227-3898.

Lisa Marie Smith is licensed to practice in Pennsylvania (license number SP025105) 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 1073225751.

Contact Information

	Lisa Marie Smith, CRNP
	600 Abbott Dr, Broomall, PA 19008-4317
	(888) 227-3898
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Marie Smith
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	600 Abbott Dr, Broomall, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073225751
Provider Enumeration Date: 12/14/2022
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 3870964034
Enrollment ID: I20230126000019

Medical Identifiers

Medical identifiers for Lisa Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073225751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP025105 (Pennsylvania)	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. Lisa Marie Smith allows following entities to bill medicare on her behalf.

Entity Name	Main Line Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

Entity Name	Delaware County Professional Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952485864 PECOS PAC ID: 2668436692 Enrollment ID: O20041118000546

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. Lisa Marie 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
Lisa Marie Smith, CRNP 3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336 Ph: (484) 337-1530	Lisa Marie Smith, CRNP 600 Abbott Dr, Broomall, PA 19008-4317 Ph: (888) 227-3898

Reviews and Comments

Nurse Practitioner Nurses in Broomall, PA

Michele Bramley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 300, Broomall, PA 19008 Phone: 610-325-1390 Fax: 610-325-1373
Ms. Gilda Audrey Johnson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 300, Broomall, PA 19008 Phone: 610-325-1390 Fax: 610-325-1373
Caroline Wilkinson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Winchester Rd, Broomall, PA 19008 Phone: 610-731-7636
Ann Marie Daly Bradley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Lawrence Rd Ste 201, Broomall, PA 19008 Phone: 610-492-5911
Sharon Hunter, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Sproul Road, Suite 206, Broomall, PA 19008 Phone: 610-284-0200 Fax: 610-353-7932
Mrs. Jacquelyn Elizabeth Mowday, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 200, Broomall, PA 19008 Phone: 610-325-1350 Fax: 610-325-1357

Lisa Marie Smith, CRNP - Medicare Nurse Practitioner in Broomall, PA