Sandra Doreen Smith-kirby, AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Winterville, North Carolina. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eastern Nephrology Associates Pllc and her current practice location is
3504 Langston Blvd, Winterville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 258-2370.
Sandra Doreen Smith-kirby is licensed to practice in North Carolina (license number 5010887) 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 1740785799.
Physician's Profile
| Full Name | Sandra Doreen Smith-kirby |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 3504 Langston Blvd, Winterville, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sandra Doreen Smith-kirby graduated from medical school in 2017
NPI Data:
- NPI Number: 1740785799
- Provider Enumeration Date: 03/29/2018
- Last Update Date: 09/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 3476806951
- Enrollment ID: I20181030003374
Medical Identifiers
Medical identifiers for Sandra Doreen Smith-kirby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740785799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5010887 (North Carolina) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 5010887 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eastern Nephrology Associates Pllc | 2264420512 | 67 |
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. Sandra Doreen Smith-kirby allows following entities to bill medicare on her behalf.
| Entity Name | Eastern Nephrology Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417083783
PECOS PAC ID: 2264420512
Enrollment ID: O20040504001638 |
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| Entity Name | Doctors Making Housecalls Internal Medicine Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083854897
PECOS PAC ID: 3870647639
Enrollment ID: O20140415001230 |
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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. Sandra Doreen Smith-kirby 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 |
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Sandra Doreen Smith-kirby, AGNP
3504 Langston Blvd,
Winterville, NC 28590-9314
Ph: (252) 258-2370 | Sandra Doreen Smith-kirby, AGNP
3504 Langston Blvd,
Winterville, NC 28590-9314
Ph: (252) 258-2370 |
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