Nicole Smith, in Utica, MI - Medicare Nurse Practitioner

Nicole Smith, is a medicare enrolled "Nurse Practitioner - Gerontology" in Utica, Michigan. Her current practice location is 12786 Mandalay Cir, Utica, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 729-3305.

Nicole Smith is licensed to practice in Michigan (license number 4704251288) 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 1306526371.

Contact Information

	Nicole Smith,
	12786 Mandalay Cir, Utica, MI 48315-6839
	(313) 729-3305
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Smith
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	12786 Mandalay Cir, Utica, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306526371
Provider Enumeration Date: 07/24/2023
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 9032656624
Enrollment ID: I20240731003398

Medical Identifiers

Medical identifiers for Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306526371	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	4704251288 (Michigan)	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. Nicole Smith allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855

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 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
Nicole Smith, 12786 Mandalay Cir, Utica, MI 48315-6839 Ph: (313) 729-3305	Nicole Smith, 12786 Mandalay Cir, Utica, MI 48315-6839 Ph: (313) 729-3305

Reviews and Comments

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Nicole Smith, - Medicare Nurse Practitioner in Utica, MI