Mrs Kemberly Jean Harrison-smith, NP is a medicare enrolled "Nurse Practitioner - Family" in Sparta, Georgia. Her current practice location is
675 Hamilton St, Sparta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 864-3448.
Mrs Kemberly Jean Harrison-smith is licensed to practice in Georgia (license number RN081204) 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 1548693377.
Provider's Profile
| Full Name | Mrs Kemberly Jean Harrison-smith |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 675 Hamilton St, Sparta, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1548693377
- Provider Enumeration Date: 08/15/2013
- Last Update Date: 09/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 4981847431
- Enrollment ID: I20130830000529
Medical Identifiers
Medical identifiers for Mrs Kemberly Jean Harrison-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548693377 | NPI | - | NPPES |
| RN081204 | Other | GA | GEORGIA LICENSE |
| F0713377 | Other | GA | NURSE PRACTIONER LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN081204 (Georgia) | 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 Kemberly Jean Harrison-smith allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Care Systems, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1932150422
PECOS PAC ID: 5890783179
Enrollment ID: O20040505000153 |
|---|
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 Kemberly Jean Harrison-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 Kemberly Jean Harrison-smith, NP
P O Box 371,
Wrightsville, GA 31096-2017
Ph: (478) 864-3448 | Mrs Kemberly Jean Harrison-smith, NP
675 Hamilton St,
Sparta, GA 31087-1837
Ph: (478) 864-3448 |
Reviews and Comments