Jessica Ann Smith, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Addison, Illinois. Her current practice location is
3n536 Linda Ln, Addison, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 703-9133.
Jessica Ann Smith is licensed to practice in Virginia (license number 0024191703) 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 1184305179.
Provider's Profile
Full Name | Jessica Ann Smith |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 3n536 Linda Ln, Addison, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184305179
- Provider Enumeration Date: 07/31/2023
- Last Update Date: 12/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335678150
- Enrollment ID: I20250123002916
Medical Identifiers
Medical identifiers for Jessica Ann Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184305179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 0024191703 (Virginia) | Primary |
163WC0200X | Registered Nurse - Critical Care Medicine | RN.041.506436 (Illinois) | Secondary |
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. Jessica Ann Smith allows following entities to bill medicare on her behalf.
Entity Name | Northstar Anesthesia Of Virginia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585 |
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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. Jessica 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 |
Jessica Ann Smith, 3n536 Linda Ln, Addison, IL 60101-3037 Ph: () - | Jessica Ann Smith, 3n536 Linda Ln, Addison, IL 60101-3037 Ph: (630) 703-9133 |
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