Marilyn Smith, PMHNP is a
Nurse Practitioner - Pediatrics based in Durant, Mississippi. Marilyn Smith is licensed to practice in Mississippi (license number 904801) and her current practice location is
25 Dr Martin Luther King Dr, Durant, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 739-9016.
NPI number for Marilyn Smith is 1205592623 and her current mailing address is 25 Dr Martin Luther King Dr, Durant, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205592623.
Provider's Profile
Full Name | Marilyn Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 25 Dr Martin Luther King Dr, Durant, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205592623
- Provider Enumeration Date: 11/10/2021
- Last Update Date: 11/10/2021
Medical Identifiers
Medical identifiers for Marilyn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205592623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 904801 (Mississippi) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 904801 (Mississippi) | Primary |
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. Marilyn Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marilyn Smith, PMHNP 25 Dr Martin Luther King Dr, Durant, MS 39063-3577 Ph: () - | Marilyn Smith, PMHNP 25 Dr Martin Luther King Dr, Durant, MS 39063-3577 Ph: (662) 739-9016 |
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