Carolyn Rena Smith, in Wilmington, DE - Medicare Nurse Practitioner

Carolyn Rena Smith, is a medicare enrolled "Nurse Practitioner - Family" in Wilmington, Delaware. Her current practice location is 1624 Jessup St, Wilmington, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 552-3574.

Carolyn Rena Smith is licensed to practice in Delaware (license number LG-0012438) 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 1023893393.

Contact Information

	Carolyn Rena Smith,
	1624 Jessup St, Wilmington, DE 19802-4210
	(302) 552-3574
	Not Available

Map and Direction

Provider's Profile

Full Name	Carolyn Rena Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1624 Jessup St, Wilmington, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023893393
Provider Enumeration Date: 08/25/2023
Last Update Date: 08/25/2023

Medicare PECOS Information:

PECOS PAC ID: 4385187228
Enrollment ID: I20240619001645

Medical Identifiers

Medical identifiers for Carolyn Rena Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023893393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	LG-0012438 (Delaware)	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. Carolyn Rena Smith allows following entities to bill medicare on her behalf.

Entity Name	The Life Center Complex, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770808578 PECOS PAC ID: 6800038076 Enrollment ID: O20130819000252

Entity Name	Ivy Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20250106000092

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. Carolyn Rena 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
Carolyn Rena Smith, 6 Bancroft Rd, New Castle, DE 19720-8848 Ph: (215) 834-6299	Carolyn Rena Smith, 1624 Jessup St, Wilmington, DE 19802-4210 Ph: (302) 552-3574

Reviews and Comments

Nurse Practitioner Nurses in Wilmington, DE

Geetanjali Chatterjee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 N Washington St Ste 300, Wilmington, DE 19801 Phone: 302-320-5700
Ms. Janine M. Catanach, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Alfred I. Dupont Hospital For Children, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-5068
Mr. Kristopher Starr, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 W 14th St, Emergency Department, Wilmington, DE 19801 Phone: 302-320-4180 Fax: 302-575-1714
Miss Nadine Lindsay, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Lancaster Ave Ste E, Wilmington, DE 19805 Phone: 302-467-1778 Fax: 302-482-1790
Olamide Abiodun Vincent, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Concord Pike, Wilmington, DE 19803 Phone: 484-408-5168 Fax: 877-383-8544
Michelle Lauer, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Foulk Rd Ste 102, Wilmington, DE 19803 Phone: 302-478-6199 Fax: 302-384-7162
Aimee Stumpo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Concord Pike Ste 78, Wilmington, DE 19803 Phone: 302-644-5868 Fax: 302-772-6834

Carolyn Rena Smith, - Medicare Nurse Practitioner in Wilmington, DE