Holly Gwen Smith, MD in Wesley Chapel, NC

Holly Gwen Smith, MD is a medicare enrolled "Pediatrics" physician in Wesley Chapel, North Carolina. Her current practice location is 6488 Weddington-monroe Rd, Wesley Chapel, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-8460.

Holly Gwen Smith is licensed to practice in North Carolina (license number 2005-00116) 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 1689749418.

Contact Information

	Holly Gwen Smith, MD
	6488 Weddington-monroe Rd, Wesley Chapel, NC 28104-6277
	(704) 384-8460
	(704) 384-1018

Map and Direction

Physician's Profile

Full Name	Holly Gwen Smith
Gender	Female
Speciality	Pediatrics
Location	6488 Weddington-monroe Rd, Wesley Chapel, 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: 1689749418
Provider Enumeration Date: 11/21/2006
Last Update Date: 10/25/2020

Medicare PECOS Information:

PECOS PAC ID: 7416295050
Enrollment ID: I20190206003003

Medical Identifiers

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

Identifier	Type	State	Issuer
1689749418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2005-00116 (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. Holly Gwen Smith allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Holly Gwen 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
Holly Gwen Smith, MD 6115 Park South Dr, Suite 105, Charlotte, NC 28210-3269 Ph: (704) 944-8388	Holly Gwen Smith, MD 6488 Weddington-monroe Rd, Wesley Chapel, NC 28104-6277 Ph: (704) 384-8460

Reviews and Comments

Pediatrics Doctors in Wesley Chapel, NC

Tiffany Madsen Ohta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104 Phone: 704-384-8460 Fax: 704-384-1018
Thomas Faran Pittman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6488 Weddington-monroe Rd, Wesley Chapel, NC 28104 Phone: 704-384-8460 Fax: 704-384-8465

Holly Gwen Smith, MD - Medicare Pediatrics in Wesley Chapel, NC