Mrs Lea Diane Smiroldo, APRN, FNP-C is a medicare enrolled "Family Medicine" in Crawfordville, Florida. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Patients First Lake Ella Medical Center P A and her current practice location is
2351 Crawfordville Hwy, Crawfordville, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 888-0084.
Mrs Lea Diane Smiroldo is licensed to practice in Florida (license number APRN9497934) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699240812.
Provider's Profile
| Full Name | Mrs Lea Diane Smiroldo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 2351 Crawfordville Hwy, Crawfordville, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Lea Diane Smiroldo graduated from nursing school in 2018
NPI Data:
- NPI Number: 1699240812
- Provider Enumeration Date: 10/04/2018
- Last Update Date: 01/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092053488
- Enrollment ID: I20190211000133
Medical Identifiers
Medical identifiers for Mrs Lea Diane Smiroldo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699240812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 9354252 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 9497934 (Florida) | Secondary |
| 207Q00000X | Family Medicine | APRN9497934 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Patients First Lake Ella Medical Center P A | 4082760566 | 23 |
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 Lea Diane Smiroldo allows following entities to bill medicare on her behalf.
| Entity Name | Patients First Lake Ella Medical Center P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164524039
PECOS PAC ID: 4082760566
Enrollment ID: O20090924000578 |
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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 Lea Diane Smiroldo 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 |
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Mrs Lea Diane Smiroldo, APRN, FNP-C
2351 Crawfordville Hwy,
Crawfordville, FL 32327
Ph: (850) 888-0084 | Mrs Lea Diane Smiroldo, APRN, FNP-C
2351 Crawfordville Hwy,
Crawfordville, FL 32327
Ph: (850) 888-0084 |
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