Mrs Haley Marie Gilmore Smith, in Fairfax, VA

Mrs Haley Marie Gilmore Smith, is a medicare enrolled "Registered Nurse" in Fairfax, Virginia. Her current practice location is 3023 Hamaker Ct, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 876-2788.

Mrs Haley Marie Gilmore Smith is licensed to practice in Virginia (license number 0001240034) 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 1386174084.

Contact Information

	Mrs Haley Marie Gilmore Smith,
	3023 Hamaker Ct, Fairfax, VA 22031-2207
	(703) 876-2788
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Haley Marie Gilmore Smith
Gender	Female
Speciality	Registered Nurse
Location	3023 Hamaker Ct, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386174084
Provider Enumeration Date: 06/14/2017
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6002179371
Enrollment ID: I20180419001043

Medical Identifiers

Medical identifiers for Mrs Haley Marie Gilmore Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386174084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001240034 (Virginia)	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. Mrs Haley Marie Gilmore Smith allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Specialists Of Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699119818 PECOS PAC ID: 7719110154 Enrollment ID: O20140509000026

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. Mrs Haley Marie Gilmore 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
Mrs Haley Marie Gilmore Smith, 10203 Roberts Common Ln, Burke, VA 22015-2860 Ph: () -	Mrs Haley Marie Gilmore Smith, 3023 Hamaker Ct, Fairfax, VA 22031-2207 Ph: (703) 876-2788

Reviews and Comments

Registered Nurse Nurses in Fairfax, VA

Felicia Aboagye, LNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000
Diane Martin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8081 Innovation Park Dr. 5th Floor, Fairfax, VA 22031 Phone: 571-472-1646 Fax: 571-472-7037
Kristen Michelle Smiley-flowers, MSN,RN, FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3580 Joseph Siewick Dr Ste 403, Fairfax, VA 22033 Phone: 703-391-4385
Kristen Ann Mancuso, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031 Phone: 703-876-0080
Kerry Urso Adams, MSN-FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 8100 Innovation Park Dr Ste 110, Fairfax, VA 22031 Phone: 703-970-6464
Melissa L Patel, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr., Suite 320, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Elizabeth Linton, Registered Nurse Medicare: Medicare Enrolled Practice Location: 8081 Innovation Park Dr Ste 765, Fairfax, VA 22031 Phone: 571-472-1717 Fax: 571-472-1718

Mrs Haley Marie Gilmore Smith, - Medicare Registered Nurse in Fairfax, VA