Tara Smith, FNP-C in Douglas, GA - Medicare Nurse Practitioner

Tara Smith, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Douglas, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Satilla Specialists, Llc and her current practice location is 1101 Ocilla Rd, Douglas, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 384-1900.

Tara Smith is licensed to practice in Georgia (license number RN213039) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1134505118.

Contact Information

	Tara Smith, FNP-C
	1101 Ocilla Rd, Douglas, GA 31533-2207
	(912) 384-1900
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1101 Ocilla Rd, Douglas, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tara Smith graduated from nursing school in 2015

NPI Data:

NPI Number: 1134505118
Provider Enumeration Date: 08/03/2015
Last Update Date: 08/03/2015

Medicare PECOS Information:

PECOS PAC ID: 8628365335
Enrollment ID: I20160923001222

Medical Identifiers

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

Identifier	Type	State	Issuer
1134505118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN213039 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mayo Clinic Health System In Waycross	Waycross, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Satilla Specialists, Llc	5991074957	24

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

Entity Name	Mayo Clinic Health System In Waycross, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639

Entity Name	Hospital Authority Of Jeff Davis County Georgia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912902263 PECOS PAC ID: 4981692472 Enrollment ID: O20040504000404

Entity Name	Memorial Satilla Specialists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295266955 PECOS PAC ID: 5991074957 Enrollment ID: O20170706002072

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. Tara 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
Tara Smith, FNP-C 1101 Ocilla Rd, P.o. Box 1287, Douglas, GA 31533-2207 Ph: (912) 384-1900	Tara Smith, FNP-C 1101 Ocilla Rd, Douglas, GA 31533-2207 Ph: (912) 384-1900

Reviews and Comments

Nurse Practitioner Nurses in Douglas, GA

Jennifer Kay Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Connector 206 N, Douglas, GA 31533 Phone: 912-389-6885 Fax: 912-393-1015
Taylor Lamar Gibson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste O, Douglas, GA 31533 Phone: 912-383-5655 Fax: 912-389-2117
Mrs. Shanda Deleice Carter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-383-6966
Mrs. Nancy Danielle Collins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Ward St W Ste B, Douglas, GA 31533 Phone: 912-384-4111 Fax: 912-384-4117
Kera Ashlyn Malphus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Ward St W, Douglas, GA 31533 Phone: 912-384-7210
Patricia Arasely Jaimes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900
Linda Michelle Bixler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-384-8214

Tara Smith, FNP-C - Medicare Nurse Practitioner in Douglas, GA