Nicole Sherae Smith, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phila, Pennsylvania. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Temple Faculty Practice Plan Inc and her current practice location is
333 Cottman Ave, Phila, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(267) 990-1028.
Nicole Sherae Smith is licensed to practice in Pennsylvania (license number RN615430) 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 1750047635.
Provider's Profile
| Full Name | Nicole Sherae Smith |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 3 Years |
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| Location | 333 Cottman Ave, Phila, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Sherae Smith attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2021
NPI Data:
- NPI Number: 1750047635
- Provider Enumeration Date: 11/15/2021
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113318965
- Enrollment ID: I20220105000855
Medical Identifiers
Medical identifiers for Nicole Sherae Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750047635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RN615430 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Temple Faculty Practice Plan Inc | 0345588711 | 1060 |
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. Nicole Sherae Smith allows following entities to bill medicare on her behalf.
| Entity Name | Temple Faculty Practice Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881176949
PECOS PAC ID: 0345588711
Enrollment ID: O20190208002623 |
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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. Nicole Sherae 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 |
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Nicole Sherae Smith, DNP, CRNA
714 Lincoln Ave,
Prospect Park, PA 19076-2302
Ph: (215) 990-8232 | Nicole Sherae Smith, DNP, CRNA
333 Cottman Ave,
Phila, PA 19111-2434
Ph: (267) 990-1028 |
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