Lisa Marie Smith, NP in Detroit, MI - Medicare Nurse Practitioner

Lisa Marie Smith, NP is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. Her current practice location is 5635 W Fort St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 849-3920.

Lisa Marie Smith is licensed to practice in Michigan (license number 4704272952) 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 1649624743.

Contact Information

	Lisa Marie Smith, NP
	5635 W Fort St, Detroit, MI 48209-3154
	(313) 849-3920
	(313) 849-0824

Map and Direction

Provider's Profile

Full Name	Lisa Marie Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5635 W Fort St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649624743
Provider Enumeration Date: 04/15/2016
Last Update Date: 02/22/2017

Medicare PECOS Information:

PECOS PAC ID: 2264709658
Enrollment ID: I20170607000782

Medical Identifiers

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

Identifier	Type	State	Issuer
1649624743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704272952 (Michigan)	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	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

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, NP 5635 W Fort St, Detroit, MI 48209-3154 Ph: (313) 849-3920	Lisa Marie Smith, NP 5635 W Fort St, Detroit, MI 48209-3154 Ph: (313) 849-3920

Reviews and Comments

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Lisa Marie Smith, NP - Medicare Nurse Practitioner in Detroit, MI