Mrs Keona E Smith, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" physician in Mesa, Arizona. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Llc, Minuteclinic Diagnostic Medical Group Of San Diego Inc, Minuteclinic Diagnostic Medical Group Of California Inc, Minuteclinic Diagnostic Of Minnesota Pa and her current practice location is
6015 E Brown Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(866) 389-2727.
Mrs Keona E Smith is licensed to practice in Arizona (license number 253724) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033647144.
Physician's Profile
| Full Name | Mrs Keona E Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 6015 E Brown Rd, Mesa, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Keona E Smith graduated from medical school in 2017
NPI Data:
- NPI Number: 1033647144
- Provider Enumeration Date: 06/02/2017
- Last Update Date: 11/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527326982
- Enrollment ID: I20210617001579
Medical Identifiers
Medical identifiers for Mrs Keona E Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033647144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 2017015826 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | APRN-213691 (Montana) | Secondary |
| 207Q00000X | Family Medicine | APRN-4030 (Hawaii) | Secondary |
| 207Q00000X | Family Medicine | 10022091 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | 207307 (Alaska) | Secondary |
| 207Q00000X | Family Medicine | 11227 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 13280148-4 (Utah) | Secondary |
| 207Q00000X | Family Medicine | 209027284 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 95025330 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 253724 (Arizona) | Primary |
| 207Q00000X | Family Medicine | 72170 (New Mexico) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Minuteclinic Llc | 6709850241 | 509 |
| Minuteclinic Diagnostic Medical Group Of San Diego Inc | 2567520414 | 32 |
| Minuteclinic Diagnostic Medical Group Of California Inc | 8224191374 | 31 |
| Minuteclinic Diagnostic Of Minnesota Pa | 7810289949 | 77 |
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 Keona E Smith allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20070131000662 |
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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. Mrs Keona E 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 Keona E Smith, NURSE PRACTITIONER 10707 W Camelback Rd, Phoenix, AZ 85037-5073 Ph: (623) 872-5316 | Mrs Keona E Smith, NURSE PRACTITIONER 6015 E Brown Rd, Mesa, AZ 85205-4452 Ph: (866) 389-2727 |
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