Shane Ray Smith, FNP-C in Peoria, AZ - Medicare Nurse Practitioner

Shane Ray Smith, FNP-C is a medicare enrolled "Nurse Practitioner" in Peoria, Arizona. His current practice location is 10230 W Happy Valley Pkwy, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 561-3030.

Shane Ray Smith is licensed to practice in Arizona (license number 300208) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326721796.

Contact Information

	Shane Ray Smith, FNP-C
	10230 W Happy Valley Pkwy, Peoria, AZ 85383-4691
	(623) 561-3030
	Not Available

Map and Direction

Provider's Profile

Full Name	Shane Ray Smith
Gender	Male
Speciality	Nurse Practitioner
Location	10230 W Happy Valley Pkwy, Peoria, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326721796
Provider Enumeration Date: 08/10/2023
Last Update Date: 11/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3971949280
Enrollment ID: I20240308002827

Medical Identifiers

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

Identifier	Type	State	Issuer
1326721796	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	300208 (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. Shane Ray Smith allows following entities to bill medicare on his behalf.

Entity Name	Honorhealth Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740273614 PECOS PAC ID: 0345130266 Enrollment ID: O20040316000867

Entity Name	Emcare - Pnx Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902855992 PECOS PAC ID: 3779574165 Enrollment ID: O20040524000667

Entity Name	Loop 101 Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376573378 PECOS PAC ID: 0840295481 Enrollment ID: O20061003000466

Entity Name	303 Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518398585 PECOS PAC ID: 2567692528 Enrollment ID: O20140313001083

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. Shane Ray 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
Shane Ray Smith, FNP-C 21735 N 119th Dr, Sun City, AZ 85373-5650 Ph: (623) 628-1522	Shane Ray Smith, FNP-C 10230 W Happy Valley Pkwy, Peoria, AZ 85383-4691 Ph: (623) 561-3030

Reviews and Comments

Nurse Practitioner Nurses in Peoria, AZ

Diana Sun Bone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9947 West Happy Valley Parkway, # 104, Peoria, AZ 85383 Phone: 623-434-5748 Fax: 623-566-9665
Kimberly Ann Flores, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12118 W Avenida Del Rey, Peoria, AZ 85383 Phone: 419-357-0958
Jania N Davis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16155 N 83rd Ave Ste 211, Peoria, AZ 85382 Phone: 801-369-8989
Mr. Matthew S Burrows, APRN-NP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168
Jessica Rivera, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8101 W Louise Dr, Peoria, AZ 85383 Phone: 602-327-2421 Fax: 602-297-6964
Kimia Robinson, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168
Mindy Rose Magoon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9815 W Keyser Dr, Peoria, AZ 85383 Phone: 602-332-1519

Shane Ray Smith, FNP-C - Medicare Nurse Practitioner in Peoria, AZ