Katherine Alexandra Smith, is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Orange City, Florida. Her current practice location is
1075 Town Center Dr, Orange City, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 917-0333.
Katherine Alexandra Smith is licensed to practice in Florida (license number APRN11038898) 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 1053106567.
Physician's Profile
Full Name | Katherine Alexandra Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 1075 Town Center Dr, Orange City, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053106567
- Provider Enumeration Date: 04/14/2025
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305355074
- Enrollment ID: I20250604000066
Medical Identifiers
Medical identifiers for Katherine Alexandra Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053106567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RP1001X | Internal Medicine - Pulmonary Disease | APRN11038898 (Florida) | Secondary |
363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11038898 (Florida) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | APRN11038898 (Florida) | 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. Katherine Alexandra Smith allows following entities to bill medicare on her behalf.
Entity Name | Pulmonary Practice Associates Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114929643 PECOS PAC ID: 3779474333 Enrollment ID: O20040323000731 |
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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. Katherine Alexandra 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 |
Katherine Alexandra Smith, 1075 Town Center Dr, Orange City, FL 32763-8360 Ph: (386) 917-0333 | Katherine Alexandra Smith, 1075 Town Center Dr, Orange City, FL 32763-8360 Ph: (386) 917-0333 |
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