Ms Kathleen Marie Smith, RN, MSN, AGPCNP-BC in Plymouth, MI

Ms Kathleen Marie Smith, RN, MSN, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Plymouth, Michigan. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Beaumont Medical Group Hospital Based Services and her current practice location is 44456 Brookside Rd, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 459-3350.

Ms Kathleen Marie Smith is licensed to practice in Michigan (license number 4704176927) 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 1821593138.

Contact Information

	Ms Kathleen Marie Smith, RN, MSN, AGPCNP-BC
	44456 Brookside Rd, Plymouth, MI 48170-3848
	(734) 459-3350
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kathleen Marie Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	44456 Brookside Rd, Plymouth, Michigan
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:

Ms Kathleen Marie Smith graduated from nursing school in 2017

NPI Data:

NPI Number: 1821593138
Provider Enumeration Date: 03/28/2018
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2062763386
Enrollment ID: I20180926001861

Medical Identifiers

Medical identifiers for Ms Kathleen Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821593138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	4704176927 (Michigan)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	4704176927 (Michigan)	Primary
363LG0600X	Nurse Practitioner - Gerontology	4704176927 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital - Farmington Hills	Farmington hills, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaumont Medical Group Hospital Based Services	3072875889	464

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 Kathleen Marie Smith allows following entities to bill medicare on her behalf.

Entity Name	Michigan Sports And Spine Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205887262 PECOS PAC ID: 0749243467 Enrollment ID: O20041104000371

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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 Kathleen Marie 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 Kathleen Marie Smith, RN, MSN, AGPCNP-BC 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () -	Ms Kathleen Marie Smith, RN, MSN, AGPCNP-BC 44456 Brookside Rd, Plymouth, MI 48170-3848 Ph: (734) 459-3350

Reviews and Comments

Nurse Practitioner Nurses in Plymouth, MI

Mrs. Brooke Nayak, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 W. Ann Arbor Tr, Suite 210, Plymouth, MI 48170 Phone: 734-455-4600 Fax: 734-466-5637
Phyllis Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40600 Ann Arbor Rd E Ste 201, Plymouth, MI 48170 Phone: 574-546-1900 Fax: 574-546-1999
Kimberly Colleen Snowdon, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Thimg Primary Care - Southeast Livonia, 29370 Plymouth Rd Ste 100, Plymouth, MI 48150 Phone: 734-655-8200 Fax: 734-655-8210
Deborah Sue Dunn, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6380 Napier Rd, Plymouth, MI 48170 Phone: 734-451-7553
Madalyn Rose Baczkowski, DNP, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11883 Trailwood Rd, Plymouth, MI 48170 Phone: 248-928-4851
Kyle M Farr, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 Starkweather St Ste C, Plymouth, MI 48170 Phone: 734-259-2804 Fax: 734-259-2805
Laura Leblanc, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 768 York St, Plymouth, MI 48170 Phone: 810-287-1488 Fax: 734-462-0344

Ms Kathleen Marie Smith, RN, MSN, AGPCNP-BC - Medicare Nurse Practitioner in Plymouth, MI