Mrs Kimberly Yvonne White Smith, PA in Raleigh, NC

Mrs Kimberly Yvonne White Smith, PA is a medicare enrolled "Physician Assistant - Medical" in Raleigh, North Carolina. Her current practice location is 10 Sunnybrook Rd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 212-7000.

Mrs Kimberly Yvonne White Smith is licensed to practice in North Carolina (license number 104236) 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 1811012271.

Contact Information

	Mrs Kimberly Yvonne White Smith, PA
	10 Sunnybrook Rd, Raleigh, NC 27610-1808
	(919) 212-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Yvonne White Smith
Gender	Female
Speciality	Physician Assistant - Medical
Location	10 Sunnybrook Rd, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811012271
Provider Enumeration Date: 03/21/2007
Last Update Date: 05/17/2012

Medicare PECOS Information:

PECOS PAC ID: 7214104074
Enrollment ID: I20120614000309

Medical Identifiers

Medical identifiers for Mrs Kimberly Yvonne White Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811012271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	104236 (North Carolina)	Primary
363A00000X	Physician Assistant	104236 (North Carolina)	Secondary

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 Kimberly Yvonne White 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 Kimberly Yvonne White Smith, PA 1332 Woodline Dr, Raleigh, NC 27603-8690 Ph: (919) 329-5107	Mrs Kimberly Yvonne White Smith, PA 10 Sunnybrook Rd, Raleigh, NC 27610-1808 Ph: (919) 212-7000

Reviews and Comments

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Mrs Kimberly Yvonne White Smith, PA - Medicare Physician Assistant in Raleigh, NC