Mr Johnny Lee Smith, APN in Jasper, AR - Medicare Nurse Practitioner

Mr Johnny Lee Smith, APN is a medicare enrolled "Nurse Practitioner - Family" in Jasper, Arkansas. His current practice location is 502 West Court, Jasper, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 446-2203.

Mr Johnny Lee Smith is licensed to practice in Arkansas (license number A01227) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104971373.

Contact Information

	Mr Johnny Lee Smith, APN
	502 West Court, Jasper, AR 72641
	(870) 446-2203
	(870) 446-2206

Map and Direction

Provider's Profile

Full Name	Mr Johnny Lee Smith
Gender	Male
Speciality	Nurse Practitioner - Family
Location	502 West Court, Jasper, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104971373
Provider Enumeration Date: 01/25/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688768302
Enrollment ID: I20070925000552

Medical Identifiers

Medical identifiers for Mr Johnny Lee Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104971373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A01227 (Arkansas)	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. Mr Johnny Lee Smith allows following entities to bill medicare on his behalf.

Entity Name	North Arkansas Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780941625 PECOS PAC ID: 5193615896 Enrollment ID: O20120612000562

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. Mr Johnny Lee 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
Mr Johnny Lee Smith, APN Po Box 445, Jasper, AR 72641-0445 Ph: (870) 446-2203	Mr Johnny Lee Smith, APN 502 West Court, Jasper, AR 72641 Ph: (870) 446-2203

Reviews and Comments

Nurse Practitioner Nurses in Jasper, AR

Erin Edgmon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Boston Mountain Rural Health Center Inc., 609 W Clark St, Jasper, AR 72641 Phone: 870-446-2225 Fax: 870-446-2227
Jennifer Shepherd, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 West Court Street., Jasper, AR 72641 Phone: 870-446-2203 Fax: 870-446-2206
Mrs. Linda Casey Sides, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 W Court Street, Jasper, AR 72641 Phone: 870-446-2203

Mr Johnny Lee Smith, APN - Medicare Nurse Practitioner in Jasper, AR