Mrs Marybeth Smith, APN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bolivar, Ohio. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Orrville Hospital Foundation and her current practice location is
10724 State Route 212 Ne, Bolivar, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 874-7165.
Mrs Marybeth Smith is licensed to practice in Ohio (license number 11140) 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 1285934604.
Provider's Profile
| Full Name | Mrs Marybeth Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 10724 State Route 212 Ne, Bolivar, Ohio |
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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 Marybeth Smith graduated from nursing school in 2009
NPI Data:
- NPI Number: 1285934604
- Provider Enumeration Date: 11/02/2010
- Last Update Date: 05/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 3476866674
- Enrollment ID: I20150716002625
Medical Identifiers
Medical identifiers for Mrs Marybeth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285934604 | NPI | - | NPPES |
| 0127945 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11140 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Orrville Hospital Foundation | 7911890546 | 110 |
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 Marybeth Smith allows following entities to bill medicare on her behalf.
| Entity Name | Orrville Hospital Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891718375
PECOS PAC ID: 7911890546
Enrollment ID: O20040206000004 |
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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 Marybeth 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 |
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Mrs Marybeth Smith, APN, FNP-C
10724 State Route 212 Ne,
Bolivar, OH 44612-8740
Ph: (330) 874-7165 | Mrs Marybeth Smith, APN, FNP-C
10724 State Route 212 Ne,
Bolivar, OH 44612-8740
Ph: (330) 874-7165 |
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