Nicole Smith, in Broomall, PA - Medicare Dietitian, Registered Provider

Nicole Smith, is a medicare enrolled "Dietitian, Registered" provider in Broomall, Pennsylvania. Her current practice location is 1991 Sproul Rd Ste 200, Broomall, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 476-6230.

Nicole Smith is licensed to practice in Pennsylvania (license number 007844) 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 1457070708.

Contact Information

	Nicole Smith,
	1991 Sproul Rd Ste 200, Broomall, PA 19008-3518
	(484) 476-6230
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Smith
Gender	Female
Speciality	Dietitian, Registered
Location	1991 Sproul Rd Ste 200, Broomall, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457070708
Provider Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022

Medicare PECOS Information:

PECOS PAC ID: 2961878822
Enrollment ID: I20221018000412

Medical Identifiers

Medical identifiers for Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457070708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	007844 (Pennsylvania)	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. Nicole Smith allows following entities to bill medicare on her behalf.

Provider Name	Main Line Healthcare
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373

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. Nicole 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
Nicole Smith, 316 Edgemore Rd, Secane, PA 19018-2718 Ph: (610) 675-8225	Nicole Smith, 1991 Sproul Rd Ste 200, Broomall, PA 19008-3518 Ph: (484) 476-6230

Reviews and Comments

Dietitian, Registered in Broomall, PA

Samantha Lupica, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2406 Georgian Ln, Broomall, PA 19008 Phone: 610-662-5732
Marielle Elizabeth Smoller, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2002 Sproul Rd Ste 200, Broomall, PA 19008 Phone: 267-229-6506
Mrs. Nyree Dardarian, M.S., R.D., L.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 108 Ceton Ct, Broomall, PA 19008 Phone: 215-868-4587
Jessica Martin, MPH RDN LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2002 Sproul Rd, Broomall, PA 19008 Phone: 610-783-3600
Stephanie Marie Bodnar, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1991 Sproul Rd, Broomall, PA 19008 Phone: 610-202-3476
Jamie Marie O'boyle, RD,LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1991 Sproul Rd, Broomall, PA 19008 Phone: 484-580-1000
Linyue Kishi Peng, MS, RD, CDCES, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1991 Sproul Rd, Broomall, PA 19008 Phone: 484-476-6230

Nicole Smith, - Medicare Dietitian in Broomall, PA