Mr Mark Alan Smith I, CRNA in Winston Salem, NC - Medicare Nurse Anesthetist, Certified Registered

Mr Mark Alan Smith I, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winston Salem, North Carolina. His current practice location is 3333 Silas Creek Pkwy, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 718-8278.

Mr Mark Alan Smith I is licensed to practice in North Carolina (license number 096869) 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 1639161029.

Contact Information

	Mr Mark Alan Smith I, CRNA
	3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013
	(336) 718-8278
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mark Alan Smith I
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3333 Silas Creek Pkwy, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639161029
Provider Enumeration Date: 08/22/2005
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 9335245869
Enrollment ID: I20070430000635

Medical Identifiers

Medical identifiers for Mr Mark Alan Smith I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639161029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APN 323 (South Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	096869 (North Carolina)	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. Mr Mark Alan Smith I allows following entities to bill medicare on his behalf.

Entity Name	Novant Health Rowan Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655

Entity Name	Providence Anesthesiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930

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. Mr Mark Alan Smith I 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
Mr Mark Alan Smith I, CRNA 5155 Laurel View Dr, Winston Salem, NC 27104-5101 Ph: (336) 774-6631	Mr Mark Alan Smith I, CRNA 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 718-8278

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Winston Salem, NC

Nicholas Ryan Tuttle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-409-1797
Yetta Hardy Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Carie Sue Nunley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Connie Sue Freeman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Charlie Martin Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011
Holly C Pegram, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Jessica Savidge Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019

Mr Mark Alan Smith I, CRNA - Medicare Nurse Anesthetist, Certified Registered in Winston Salem, NC