Lisa R Smith, CNM is a medicare enrolled "Advanced Practice Midwife" in Shreveport, Louisiana. Her current practice location is
1541 Kings Hwy, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 626-0000.
Lisa R Smith is licensed to practice in Louisiana (license number 202048) 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 1306309125.
Provider's Profile
Full Name | Lisa R Smith |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 1541 Kings Hwy, Shreveport, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306309125
- Provider Enumeration Date: 04/09/2019
- Last Update Date: 01/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951636166
- Enrollment ID: I20190710002993
Medical Identifiers
Medical identifiers for Lisa R Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306309125 | NPI | - | NPPES |
2503707 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LW0102X | Nurse Practitioner - Women's Health | 202048 (Louisiana) | Secondary |
367A00000X | Advanced Practice Midwife | 202048 (Louisiana) | 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 R Smith allows following entities to bill medicare on her behalf.
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
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Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
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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 R 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 R Smith, CNM 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: () - | Lisa R Smith, CNM 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000 |
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