Ms Evelyn Smith, FNP is a medicare enrolled "Nurse Practitioner - Family" in Drew, Mississippi. Her current practice location is
121 S Virgie St, Drew, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 745-2331.
Ms Evelyn Smith is licensed to practice in Mississippi (license number R547115) 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 1679891964.
Provider's Profile
Full Name | Ms Evelyn Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 121 S Virgie St, Drew, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679891964
- Provider Enumeration Date: 05/11/2010
- Last Update Date: 05/11/2010
Medicare PECOS Information:
- PECOS PAC ID: 2567412653
- Enrollment ID: I20050126000803
Medical Identifiers
Medical identifiers for Ms Evelyn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679891964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R547115 (Mississippi) | Primary |
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. Ms Evelyn Smith allows following entities to bill medicare on her behalf.
Entity Name | Natural Pain Back Institute, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144503673 PECOS PAC ID: 7214103944 Enrollment ID: O20111230000444 |
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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. Ms Evelyn 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 |
Ms Evelyn Smith, FNP 121 S Virgie St, P.o. Box 304, Drew, MS 38737-3334 Ph: (662) 745-2331 | Ms Evelyn Smith, FNP 121 S Virgie St, Drew, MS 38737-3334 Ph: (662) 745-2331 |
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