Marie G Smith, RD is a medicare enrolled "Dietitian, Registered" provider in Kewaunee, Wisconsin. Her current practice location is
575 4th St, Kewaunee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 388-4640.
Marie G Smith is licensed to practice in Wisconsin (license number 2305-029) 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 1447773783.
Healthcare Provider's Profile
| Full Name | Marie G Smith |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 575 4th St, Kewaunee, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447773783
- Provider Enumeration Date: 07/19/2017
- Last Update Date: 07/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 3173895679
- Enrollment ID: I20170817003465
Medical Identifiers
Medical identifiers for Marie G Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447773783 | NPI | - | NPPES |
| PENDING | Other | | MEDICAID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 2305-029 (Wisconsin) | 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. Marie G Smith allows following entities to bill medicare on her behalf.
| Provider Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423 |
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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. Marie G 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 |
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Marie G Smith, RD
744 S Webster Ave,
Green Bay, WI 54301-3505
Ph: (920) 445-7226 | Marie G Smith, RD
575 4th St,
Kewaunee, WI 54216
Ph: (920) 388-4640 |
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