Caitlyn Mariel Smallwood, NP in Lafayette, IN

Caitlyn Mariel Smallwood, NP is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Indiana. Her current practice location is 3738 Landmark Dr Ste A, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 807-2780.

Caitlyn Mariel Smallwood is licensed to practice in Indiana (license number 71013304A) 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 1083384218.

Contact Information

	Caitlyn Mariel Smallwood, NP
	3738 Landmark Dr Ste A, Lafayette, IN 47905-6655
	(765) 807-2780
	Not Available

Map and Direction

Provider's Profile

Full Name	Caitlyn Mariel Smallwood
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3738 Landmark Dr Ste A, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083384218
Provider Enumeration Date: 09/18/2021
Last Update Date: 11/15/2023

Medicare PECOS Information:

PECOS PAC ID: 4486022019
Enrollment ID: I20221201001978

Medical Identifiers

Medical identifiers for Caitlyn Mariel Smallwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083384218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	28244460A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71013304A (Indiana)	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. Caitlyn Mariel Smallwood allows following entities to bill medicare on her behalf.

Entity Name	Shadeland Anesthesia & Pain Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477589000 PECOS PAC ID: 2769468990 Enrollment ID: O20040628000781

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491

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. Caitlyn Mariel Smallwood 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
Caitlyn Mariel Smallwood, NP 29943 Network Pl, Chicago, IL 60673-1299 Ph: (317) 706-3415	Caitlyn Mariel Smallwood, NP 3738 Landmark Dr Ste A, Lafayette, IN 47905-6655 Ph: (765) 807-2780

Reviews and Comments

Nurse Practitioner Nurses in Lafayette, IN

Abigail Ann Crum, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000
Kimbra Weesner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tippecanoe St, Lafayette, IN 47904 Phone: 765-423-6400
Mrs. Cecilia Ann Winkler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 State Road 38 E, Lafayette, IN 47905 Phone: 765-449-6790 Fax: 765-772-7113
Harmony Stine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 355, Lafayette, IN 47905 Phone: 765-807-7988 Fax: 765-807-7989
Monica Michele Roadruck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Daugherty Dr Ste 140, Lafayette, IN 47909 Phone: 765-502-4190 Fax: 765-502-4191
Julie J Debord, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Venice Michele Jarrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100

Caitlyn Mariel Smallwood, NP - Medicare Nurse Practitioner in Lafayette, IN