Kisha Smalley, FNP in Mcdonough, GA - Medicare Nurse Practitioner

Kisha Smalley, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Mcdonough, Georgia. Her current practice location is 117 Gambier Cv, Mcdonough, Georgia. You can reach out to her office (for appointments etc.) via phone at (904) 536-3032.

Kisha Smalley is licensed to practice in Georgia (license number F07200350) 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 1124645395.

Contact Information

	Kisha Smalley, FNP
	117 Gambier Cv, Mcdonough, GA 30252-6273
	(904) 536-3032
	Not Available

Map and Direction

Provider's Profile

Full Name	Kisha Smalley
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	117 Gambier Cv, Mcdonough, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124645395
Provider Enumeration Date: 07/02/2020
Last Update Date: 07/02/2020

Medicare PECOS Information:

PECOS PAC ID: 7618367384
Enrollment ID: I20211213000854

Medical Identifiers

Medical identifiers for Kisha Smalley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124645395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	F07200350 (Georgia)	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. Kisha Smalley allows following entities to bill medicare on her behalf.

Entity Name	Remedy Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013517317 PECOS PAC ID: 3375958853 Enrollment ID: O20210428001748

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. Kisha Smalley 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
Kisha Smalley, FNP 117 Gambier Cv, Mcdonough, GA 30252-6273 Ph: (904) 536-3032	Kisha Smalley, FNP 117 Gambier Cv, Mcdonough, GA 30252-6273 Ph: (904) 536-3032

Reviews and Comments

Nurse Practitioner Nurses in Mcdonough, GA

Mrs. Brandie Ann Villanova, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Enterprise Pkwy, Mcdonough, GA 30253 Phone: 678-583-9071
Ms. Rita Raynel Givens, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1333 Vine Cir, Mcdonough, GA 30253 Phone: 631-645-2812
Catherine A Nkongho, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 Concord Cir, Mcdonough, GA 30253 Phone: 240-491-6813
Joyce Paulette Thompson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4324 Gladys Ct, Mcdonough, GA 30252 Phone: 404-643-6597
Mrs. Betty Jean Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Michael Ln, Mcdonough, GA 30252 Phone: 770-401-1901
Emily Il Arthur, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Regency Park Dr Ste 140, Mcdonough, GA 30253 Phone: 770-957-8626 Fax: 770-957-7200
Brad Alan Oglesby, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Oakwood Trl, Mcdonough, GA 30252 Phone: 678-591-6798

Kisha Smalley, FNP - Medicare Nurse Practitioner in Mcdonough, GA