Tanielle Brew Smith, MD in Jacksonville, FL

Tanielle Brew Smith, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice University Of Florida Jacksonville Physicians, Inc. and her current practice location is 3122 New Berlin Rd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 633-0340.

Tanielle Brew Smith is licensed to practice in Florida (license number ME129374) 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 1043690894.

Contact Information

	Tanielle Brew Smith, MD
	3122 New Berlin Rd, Jacksonville, FL 32226-1828
	(904) 633-0340
	(904) 633-0341

Map and Direction

Physician's Profile

Full Name	Tanielle Brew Smith
Gender	Female
Speciality	Family Practice
Experience	9 Years
Location	3122 New Berlin Rd, Jacksonville, Florida
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:

Tanielle Brew Smith graduated from medical school in 2015

NPI Data:

NPI Number: 1043690894
Provider Enumeration Date: 06/08/2015
Last Update Date: 03/31/2023

Medicare PECOS Information:

PECOS PAC ID: 4981970605
Enrollment ID: I20180827001847

Medical Identifiers

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

Identifier	Type	State	Issuer
1043690894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	TRN 21895 (Florida)	Secondary
207Q00000X	Family Medicine	ME129374 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shands Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Florida Jacksonville Physicians, Inc.	9133025869	644

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. Tanielle Brew Smith allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326208695 PECOS PAC ID: 9133025869 Enrollment ID: O20040204000616

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487814752 PECOS PAC ID: 9133025869 Enrollment ID: O20050414000212

Entity Name	St Vincent's Ambulatory Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430

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. Tanielle Brew 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
Tanielle Brew Smith, MD Po Box 44008, Jacksonville, FL 32231-4008 Ph: (904) 633-0340	Tanielle Brew Smith, MD 3122 New Berlin Rd, Jacksonville, FL 32226-1828 Ph: (904) 633-0340

Reviews and Comments

Family Medicine Doctors in Jacksonville, FL

Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952
Dr. Ana A Sanchez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4266 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-268-5200
Dr. Monina Ilano Geda, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1909 Beach Blvd Ste 102, Jacksonville, FL 32250 Phone: 904-246-2752 Fax: 904-246-2758

Tanielle Brew Smith, MD - Medicare Family Practice in Jacksonville, FL