Mrs Fawn B Smith, NP-C in Springfield, GA - Medicare Nurse Practitioner

Mrs Fawn B Smith, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Springfield, 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 Southern Surgical Providers, P.c. and her current practice location is 459 Highway 119 S, Springfield, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 754-0382.

Mrs Fawn B Smith is licensed to practice in Georgia (license number RN175547) 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 1679950554.

Contact Information

	Mrs Fawn B Smith, NP-C
	459 Highway 119 S, Springfield, GA 31329-3021
	(912) 754-0382
	(912) 754-0225

Map and Direction

Provider's Profile

Full Name	Mrs Fawn B Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	459 Highway 119 S, Springfield, 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:

Mrs Fawn B Smith graduated from nursing school in 2015

NPI Data:

NPI Number: 1679950554
Provider Enumeration Date: 04/30/2015
Last Update Date: 11/26/2020

Medicare PECOS Information:

PECOS PAC ID: 7012209760
Enrollment ID: I20160715002151

Medical Identifiers

Medical identifiers for Mrs Fawn B Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679950554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN175547 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Effingham Health System	Springfield, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Surgical Providers, P.c.	3274663091	2

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. Mrs Fawn B Smith allows following entities to bill medicare on her behalf.

Entity Name	Southern Surgical Providers, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619203809 PECOS PAC ID: 3274663091 Enrollment ID: O20100604000627

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. Mrs Fawn B 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
Mrs Fawn B Smith, NP-C 459 Highway 119 S, Springfield, GA 31329-3021 Ph: (912) 754-0382	Mrs Fawn B Smith, NP-C 459 Highway 119 S, Springfield, GA 31329-3021 Ph: (912) 754-0382

Reviews and Comments

Nurse Practitioner Nurses in Springfield, GA

Jana Edwards Marks, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1451 Highway 21 S Ste H, Springfield, GA 31329 Phone: 912-754-1035 Fax: 912-754-1037
Kelli Stewart, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1571 Highway 21 S, Springfield, GA 31329 Phone: 912-754-7500
Nancy Flategraff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1571 Highway 21 S, Springfield, GA 31329 Phone: 912-754-7500
Janice E Ford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1451 Highway 21 South, Suite H, Springfield, GA 31329 Phone: 912-754-1035 Fax: 912-754-1037
Victoria Sikes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1571 Highway 21 S, Springfield, GA 31329 Phone: 912-754-7500 Fax: 912-754-7505
Ms. Sharita Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1451 Ga Highway 21 S Ste H, Springfield, GA 31329 Phone: 912-754-1035 Fax: 912-754-1037
Mrs. Ashley Kessler Dasher, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 459 Highway 119 S, Springfield, GA 31329 Phone: 912-754-6451

Mrs Fawn B Smith, NP-C - Medicare Nurse Practitioner in Springfield, GA