Ms Sara Nicole Smith, NP - Medicare Nurse Practitioner in Glendale, AZ

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Ms Sara Nicole Smith, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Glendale, Arizona. Her current practice location is 19007 N 67th Ave, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 933-0016.

Ms Sara Nicole Smith is licensed to practice in Arizona (license number 309490) 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 1912256744.

Contact Information

Ms Sara Nicole Smith, NP
19007 N 67th Ave,
Glendale, AZ 85308-7179
(602) 933-0016
Not Available

Map and Direction




Provider's Profile

Full NameMs Sara Nicole Smith
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location19007 N 67th Ave, Glendale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912256744
  • Provider Enumeration Date: 09/07/2012
  • Last Update Date: 09/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8921314048
  • Enrollment ID: I20190207002188

Medical Identifiers

Medical identifiers for Ms Sara Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912256744NPI-NPPES
0131245MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics APRN001966 (Nevada)Secondary
363LP0222XNurse Practitioner - Pediatrics, Critical Care 13818-NP (Ohio)Secondary
363LP0222XNurse Practitioner - Pediatrics, Critical Care APRN001966 (Nevada)Secondary
363LP0200XNurse Practitioner - Pediatrics 309490 (Arizona)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 Sara Nicole Smith allows following entities to bill medicare on her behalf.
Entity NameChildren's Radiological Institute, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508895608
PECOS PAC ID: 8921068149
Enrollment ID: O20041012001630

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 Sara Nicole 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 Sara Nicole Smith, NP
2108 E Thomas Rd Ste 130,
Phoenix, AZ 85016-0008

Ph: (602) 933-3124		Ms Sara Nicole Smith, NP
19007 N 67th Ave,
Glendale, AZ 85308-7179

Ph: (602) 933-0016

Reviews and Comments


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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).

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