Stacey L Smith, FNP in Sullivan, IN - Medicare Nurse Practitioner

Stacey L Smith, FNP is a medicare enrolled "Nurse Practitioner" in Sullivan, Indiana. She graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sullivan County Community Hospital and her current practice location is 2229 Mary Sherman Dr, Sullivan, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 268-3318.

Stacey L Smith is licensed to practice in Indiana (license number 71000086A) 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 1912947169.

Contact Information

	Stacey L Smith, FNP
	2229 Mary Sherman Dr, Sullivan, IN 47882-7633
	(812) 268-3318
	(812) 268-4017

Map and Direction

Provider's Profile

Full Name	Stacey L Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	32 Years
Location	2229 Mary Sherman Dr, Sullivan, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey L Smith graduated from nursing school in 1992

NPI Data:

NPI Number: 1912947169
Provider Enumeration Date: 06/07/2006
Last Update Date: 04/27/2021

Medicare PECOS Information:

PECOS PAC ID: 6103056080
Enrollment ID: I20140221000739

Medical Identifiers

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

Identifier	Type	State	Issuer
1912947169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71000086A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Intrepid Usa Healthcare Services	Terre haute, IN	Home health agency
Amedisys Home Health	Bloomington, IN	Home health agency
Sullivan County Community Hospital	Sullivan, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sullivan County Community Hospital	2466497482	33

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. Stacey L Smith allows following entities to bill medicare on her behalf.

Entity Name	Sullivan County Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497759260 PECOS PAC ID: 2466497482 Enrollment ID: O20070817000379

Entity Name	Mso Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154741296 PECOS PAC ID: 0547486136 Enrollment ID: O20140813002412

Entity Name	Sullivan County Community Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1447805965 PECOS PAC ID: 2466497482 Enrollment ID: O20200117000707

Entity Name	Sullivan County Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497363303 PECOS PAC ID: 2466497482 Enrollment ID: O20200831000591

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. Stacey L 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
Stacey L Smith, FNP 2229 Mary Sherman Dr, Po Box 230, Sullivan, IN 47882-7633 Ph: (812) 268-3318	Stacey L Smith, FNP 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 Ph: (812) 268-3318

Reviews and Comments

Nurse Practitioner Nurses in Sullivan, IN

Mrs. Terri Lee Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-3318
Jeanna Rennee Lisman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-3318
Mrs. Kelly Sue Evans, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 North Section Street, Sullivan, IN 47882 Phone: 812-268-2556
Holly Laue, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-4311 Fax: 812-268-6809
Billie J Thurman, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-4311 Fax: 812-268-2609
Kevin Braun Flinn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 N Section St Ste A, Sullivan, IN 47882 Phone: 812-268-6292
Mrs. Amy Nicole Sparks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-4311 Fax: 812-268-2544

Stacey L Smith, FNP - Medicare Nurse Practitioner in Sullivan, IN