Ciji S Smith, FNP-C in Mesa, AZ - Medicare Nurse Practitioner

Ciji S Smith, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. Her current practice location is 4824 E Baseline Rd Ste 140, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 969-4040.

Ciji S Smith is licensed to practice in Arizona (license number RNP290692) 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 1609582097.

Contact Information

	Ciji S Smith, FNP-C
	4824 E Baseline Rd Ste 140, Mesa, AZ 85206-4680
	(480) 969-4040
	Not Available

Map and Direction

Provider's Profile

Full Name	Ciji S Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4824 E Baseline Rd Ste 140, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609582097
Provider Enumeration Date: 01/30/2023
Last Update Date: 10/09/2023

Medicare PECOS Information:

PECOS PAC ID: 7315307261
Enrollment ID: I20230724003149

Medical Identifiers

Medical identifiers for Ciji S Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609582097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RNP290692 (Arizona)	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. Ciji S Smith allows following entities to bill medicare on her behalf.

Entity Name	Innovative Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669437349 PECOS PAC ID: 9032147095 Enrollment ID: O20050801000274

Entity Name	Verve Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245464478 PECOS PAC ID: 8325172471 Enrollment ID: O20100811000975

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. Ciji S 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
Ciji S Smith, FNP-C 19125 E Mary Ann Way, Queen Creek, AZ 85142-9910 Ph: (602) 513-0699	Ciji S Smith, FNP-C 4824 E Baseline Rd Ste 140, Mesa, AZ 85206-4680 Ph: (480) 969-4040

Reviews and Comments

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Ciji S Smith, FNP-C - Medicare Nurse Practitioner in Mesa, AZ