Ms Kimberly Moser Smith, APN - Medicare Nurse Practitioner in Melbourne, AR

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Ms Kimberly Moser Smith, APN is a medicare enrolled "Nurse Practitioner - Family" in Melbourne, Arkansas. Her current practice location is 1526 E Main Stree, Melbourne Medical Clinic, Melbourne, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 368-4344.

Ms Kimberly Moser Smith is licensed to practice in Arkansas (license number A01757) 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 1780651505.

Contact Information

Ms Kimberly Moser Smith, APN
1526 E Main Stree, Melbourne Medical Clinic,
Melbourne, AR 72556-3736
(870) 368-4344
(870) 368-3051

Map and Direction




Provider's Profile

Full NameMs Kimberly Moser Smith
GenderFemale
SpecialityNurse Practitioner - Family
Location1526 E Main Stree, Melbourne, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780651505
  • Provider Enumeration Date: 03/01/2006
  • Last Update Date: 01/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2264413871
  • Enrollment ID: I20040528000774

Medical Identifiers

Medical identifiers for Ms Kimberly Moser Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780651505NPI-NPPES
P00130335OtherARRAILROAD MEDICARE
152621758MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A01757 (Arkansas)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 Kimberly Moser Smith allows following entities to bill medicare on her behalf.
Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457396616
PECOS PAC ID: 0143134270
Enrollment ID: O20060830000031
Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871609743
PECOS PAC ID: 0143134270
Enrollment ID: O20070223000663
Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467519249
PECOS PAC ID: 0143134270
Enrollment ID: O20070503000423
Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477523348
PECOS PAC ID: 0143134270
Enrollment ID: O20110510000339
Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760452643
PECOS PAC ID: 0143134270
Enrollment ID: O20111003000187
Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578543070
PECOS PAC ID: 0143134270
Enrollment ID: O20120725000268
Entity NameWhite River Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104275486
PECOS PAC ID: 0143134270
Enrollment ID: O20170119000552

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 Kimberly Moser 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 AddressPractice Location Address
Ms Kimberly Moser Smith, APN
1526 E. Main Street, Melbourne Medical Clinic,
Melbourne, AR 72556

Ph: (870) 368-4344		Ms Kimberly Moser Smith, APN
1526 E Main Stree, Melbourne Medical Clinic,
Melbourne, AR 72556-3736

Ph: (870) 368-4344

Reviews and Comments


Nurse Practitioner Nurses in Melbourne, AR

Fern Sherrell, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1019 East Main, Melbourne, AR 72556
Phone: 870-368-4729    Fax: 870-368-4729
Naomi Miller, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1526 Main, Melbourne, AR 72556
Phone: 870-368-4344    Fax: 870-368-3051
Mrs. Morgan Brittany Shirley, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1019 E. Main St., Melbourne, AR 72556
Phone: 870-368-4729    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.