Celestine Demetrich Smith, ARNP in Jacksonville, FL

Celestine Demetrich Smith, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 580 W 8th St, Ufjp - Dept, Of Neurosurgery, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 244-3950.

Celestine Demetrich Smith is licensed to practice in Florida (license number ARNP9177923) 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 1134492291.

Contact Information

	Celestine Demetrich Smith, ARNP
	580 W 8th St, Ufjp - Dept, Of Neurosurgery, Jacksonville, FL 32209-6533
	(904) 244-3950
	(904) 244-9437

Map and Direction

Provider's Profile

Full Name	Celestine Demetrich Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	580 W 8th St, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134492291
Provider Enumeration Date: 02/20/2012
Last Update Date: 08/09/2012

Medicare PECOS Information:

PECOS PAC ID: 3870752546
Enrollment ID: I20120315000712

Medical Identifiers

Medical identifiers for Celestine Demetrich Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134492291	NPI	-	NPPES
003121269A	Medicaid	GA
0045419-00	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP9177923 (Florida)	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. Celestine Demetrich Smith allows following entities to bill medicare on her behalf.

Entity Name	Physical Medicine Specialists, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952343261 PECOS PAC ID: 1658335328 Enrollment ID: O20041113000028

Entity Name	Pophealthcare, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164943957 PECOS PAC ID: 4880952977 Enrollment ID: O20171219001167

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. Celestine Demetrich 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
Celestine Demetrich Smith, ARNP Po Box 44008, Ufjp - Provider Enrollment, Jacksonville, FL 32231-4008 Ph: (904) 244-3199	Celestine Demetrich Smith, ARNP 580 W 8th St, Ufjp - Dept, Of Neurosurgery, Jacksonville, FL 32209-6533 Ph: (904) 244-3950

Reviews and Comments

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Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300

Celestine Demetrich Smith, ARNP - Medicare Nurse Practitioner in Jacksonville, FL