Ms Yashica Mickiela Smith, APN is a medicare enrolled "Nurse Practitioner - Family" physician in Bronx, New York. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chiropractic And Rehab Exercise Center Of South Jersey, Ac, L.l.c and her current practice location is
2015 Grand Concourse, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 299-7295.
Ms Yashica Mickiela Smith is licensed to practice in New York (license number F346352) 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 1659994895.
Physician's Profile
| Full Name | Ms Yashica Mickiela Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 2015 Grand Concourse, Bronx, New York |
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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. |
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Medical Education and Training:
- Ms Yashica Mickiela Smith graduated from medical school in 2018
NPI Data:
- NPI Number: 1659994895
- Provider Enumeration Date: 05/22/2020
- Last Update Date: 08/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638598196
- Enrollment ID: I20201008000258
Medical Identifiers
Medical identifiers for Ms Yashica Mickiela Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659994895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 26NJ01034400 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F346352 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chiropractic And Rehab Exercise Center Of South Jersey, Ac, L.l.c | 6002088853 | 3 |
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. Ms Yashica Mickiela Smith allows following entities to bill medicare on her behalf.
| Entity Name | Chiropractic And Rehab Center Of South Jersey |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750493318
PECOS PAC ID: 9638074891
Enrollment ID: O20031202000185 |
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| Entity Name | Chiropractic And Rehab Exercise Center Of South Jersey, Ac, L.l.c |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710219654
PECOS PAC ID: 6002088853
Enrollment ID: O20111020000476 |
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| Entity Name | Signify Health Medical Associates Of New Jersey Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174187728
PECOS PAC ID: 4284966896
Enrollment ID: O20191031002559 |
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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. Ms Yashica Mickiela 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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Ms Yashica Mickiela Smith, APN
1434 Williamsbridge Rd Fl 2,
Bronx, NY 10461-2507
Ph: (718) 618-0401 | Ms Yashica Mickiela Smith, APN
2015 Grand Concourse,
Bronx, NY 10453-4303
Ph: (718) 299-7295 |
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