Marie Augustina Smith, APRN - Medicare Nurse Practitioner in Daytona Beach, FL

Marie Augustina Smith, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Daytona Beach, Florida. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Arizona Behavioral Health Services, Inc. and her current practice location is 1220 Willis Ave, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 575-0832.

Marie Augustina Smith is licensed to practice in Florida (license number ARNP9328552) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619219375.

Contact Information

Marie Augustina Smith, APRN
1220 Willis Ave,
Daytona Beach, FL 32114-2810
(352) 575-0832
Not Available

Map and Direction




Provider's Profile

Full NameMarie Augustina Smith
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1220 Willis Ave, Daytona Beach, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marie Augustina Smith graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1619219375
  • Provider Enumeration Date: 03/20/2013
  • Last Update Date: 06/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2668613811
  • Enrollment ID: I20181105002586

Medical Identifiers

Medical identifiers for Marie Augustina Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619219375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP11238 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health ARNP9328552 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Arizona Behavioral Health Services, Inc.28604883686

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. Marie Augustina Smith allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Arizona Behavioral Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760830137
PECOS PAC ID: 2860488368
Enrollment ID: O20040421000934

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. Marie Augustina 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 AddressPractice Location Address
Marie Augustina Smith, APRN
1220 Willis Ave,
Daytona Beach, FL 32114-2810

Ph: (352) 575-0832
Marie Augustina Smith, APRN
1220 Willis Ave,
Daytona Beach, FL 32114-2810

Ph: (352) 575-0832

Reviews and Comments


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Mrs. Krystal Marie Disantis, NP-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.