Mrs Mary Jane Smith, CRNP in Mobile, AL - Medicare Nurse Practitioner

Mrs Mary Jane Smith, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Mobile, Alabama. 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 Southern Cancer Center Pc and her current practice location is 3750 Professional Pkwy, Mobile, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 460-0999.

Mrs Mary Jane Smith is licensed to practice in Alabama (license number 1-112783) 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 1598310740.

Contact Information

	Mrs Mary Jane Smith, CRNP
	3750 Professional Pkwy, Mobile, AL 36609-5407
	(251) 460-0999
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary Jane Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	3750 Professional Pkwy, Mobile, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mary Jane Smith graduated from nursing school in 2018

NPI Data:

NPI Number: 1598310740
Provider Enumeration Date: 08/05/2019
Last Update Date: 10/27/2021

Medicare PECOS Information:

PECOS PAC ID: 4082042437
Enrollment ID: I20200317002258

Medical Identifiers

Medical identifiers for Mrs Mary Jane Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598310740	NPI	-	NPPES
245903	Medicaid	AL
P02453396	Other	AL	RAILROAD MEDICARE
246049	Medicaid	AL
A871121V	Other	AL	MEDICARE PTAN
248711	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	1-112783 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Hospital	Mobile, AL	Hospital
Springhill Medical Center	Mobile, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Cancer Center Pc	5597860403	28

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 Mary Jane Smith allows following entities to bill medicare on her behalf.

Entity Name	Southern Cancer Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578629556 PECOS PAC ID: 5597860403 Enrollment ID: O20070423000242

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 Mary Jane 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 Mary Jane Smith, CRNP 29653 Anchor Cross Blvd, Daphne, AL 36526-9594 Ph: (251) 625-6896	Mrs Mary Jane Smith, CRNP 3750 Professional Pkwy, Mobile, AL 36609-5407 Ph: (251) 460-0999

Reviews and Comments

Nurse Practitioner Nurses in Mobile, AL

Mrs. Jennifer Gallagher Williams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Center St, Ste 1s, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3852
Mrs. Kathleen R. Carlen-magnone, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 251-639-5775 Fax: 251-631-3581
Kayla Clemons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770
Mackenzie Krebsbach Roberts, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7565
Lauren Marie Mcminn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Spring Hill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7456
Katherine Kinsaul, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-435-2620
Wesley Kyle Dees, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mstn 101, Mobile, AL 36617 Phone: 251-445-8282 Fax: 251-445-8281

Mrs Mary Jane Smith, CRNP - Medicare Nurse Practitioner in Mobile, AL