Dr Shirley Ann Smith, ADVANCED PRACTICE NU is a medicare enrolled "Nurse Practitioner - Family" in Caldwell, Texas. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
501 North Stone, Caldwell, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 567-8500.
Dr Shirley Ann Smith is licensed to practice in Texas (license number 1578680815) 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 1578680815.
Provider's Profile
Full Name | Dr Shirley Ann Smith |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 22 Years |
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Location | 501 North Stone, Caldwell, Texas |
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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:
- Dr Shirley Ann Smith graduated from nursing school in 2002
NPI Data:
- NPI Number: 1578680815
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 02/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082944921
- Enrollment ID: I20190919002107
Medical Identifiers
Medical identifiers for Dr Shirley Ann Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578680815 | NPI | - | NPPES |
159748601 | Medicaid | TX | |
8A8625 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 517771 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 517771 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1578680815 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1578680815 (Texas) | 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. Dr Shirley Ann Smith allows following entities to bill medicare on her behalf.
Entity Name | Jlyle Medical Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669934774 PECOS PAC ID: 3173853017 Enrollment ID: O20190919001800 |
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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. Dr Shirley Ann 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 |
Dr Shirley Ann Smith, ADVANCED PRACTICE NU 501 N. Stone, Caldwell, TX 77836-1134 Ph: (979) 567-8500 | Dr Shirley Ann Smith, ADVANCED PRACTICE NU 501 North Stone, Caldwell, TX 77836-1134 Ph: (979) 567-8500 |
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