Mrs Princy Mathai Smith, NP in Royal Oak, MI - Medicare Nurse Practitioner

Mrs Princy Mathai Smith, NP is a medicare enrolled "Nurse Practitioner" in Royal Oak, Michigan. Her current practice location is 813 Forest Ave, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 549-8192.

Mrs Princy Mathai Smith is licensed to practice in Michigan (license number 4704308318) 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 1073265120.

Contact Information

	Mrs Princy Mathai Smith, NP
	813 Forest Ave, Royal Oak, MI 48067-4213
	(586) 549-8192
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Princy Mathai Smith
Gender	Female
Speciality	Nurse Practitioner
Location	813 Forest Ave, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073265120
Provider Enumeration Date: 01/20/2022
Last Update Date: 07/03/2023

Medicare PECOS Information:

PECOS PAC ID: 1052771680
Enrollment ID: I20230714001140

Medical Identifiers

Medical identifiers for Mrs Princy Mathai Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073265120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704308318 (Michigan)	Primary
363LF0000X	Nurse Practitioner - Family	4704308318 (Michigan)	Secondary

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 Princy Mathai Smith allows following entities to bill medicare on her behalf.

Entity Name	Emergency Department Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466

Entity Name	Observation Emergency Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024

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 Princy Mathai 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 Princy Mathai Smith, NP 521 Ballantyne Rd, Grosse Pointe Shores, MI 48236-2604 Ph: (586) 549-8192	Mrs Princy Mathai Smith, NP 813 Forest Ave, Royal Oak, MI 48067-4213 Ph: (586) 549-8192

Reviews and Comments

Nurse Practitioner Nurses in Royal Oak, MI

Kelly L Hope, RN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30701 Woodward Ave Ste 200, Royal Oak, MI 48073 Phone: 248-737-4030 Fax: 248-307-7873
Mrs. Alexandra Noelle Hayosh, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-4021 Fax: 218-898-1473
Maryana H Alhindi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 Fax: 248-898-0580
Rita M Catchings, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-1010
Ann Catherine Paton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Martina G Mulligan, ACNS-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Mr. Kevin Wilson Curtis, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000

Mrs Princy Mathai Smith, NP - Medicare Nurse Practitioner in Royal Oak, MI