Phyllis Smith, in Plymouth, MI - Medicare Nurse Practitioner

Phyllis Smith, is a medicare enrolled "Nurse Practitioner - Family" in Plymouth, Michigan. Her current practice location is 40600 Ann Arbor Rd E Ste 201, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at (574) 546-1900.

Phyllis Smith is licensed to practice in Michigan (license number 4704291906) 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 1053197269.

Contact Information

	Phyllis Smith,
	40600 Ann Arbor Rd E Ste 201, Plymouth, MI 48170-4675
	(574) 546-1900
	(574) 546-1999

Map and Direction

Provider's Profile

Full Name	Phyllis Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	40600 Ann Arbor Rd E Ste 201, Plymouth, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053197269
Provider Enumeration Date: 09/04/2023
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8224482740
Enrollment ID: I20231002001816

Medical Identifiers

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

Identifier	Type	State	Issuer
1053197269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704291906 (Michigan)	Primary
363L00000X	Nurse Practitioner	4704291906NSA230IZ (Michigan)	Secondary

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. Phyllis Smith allows following entities to bill medicare on her behalf.

Entity Name	Neurology And Pain Management Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518900620 PECOS PAC ID: 4486676095 Enrollment ID: O20160106002481

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. Phyllis 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
Phyllis Smith, 2100 N Main St Ste 304, Crown Point, IN 46307-1877 Ph: (574) 546-1900	Phyllis Smith, 40600 Ann Arbor Rd E Ste 201, Plymouth, MI 48170-4675 Ph: (574) 546-1900

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
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

Phyllis Smith, - Medicare Nurse Practitioner in Plymouth, MI