Jimmy Reece Smith, in Bowling Green, KY - Medicare Nurse Practitioner

Jimmy Reece Smith, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bowling Green, Kentucky. His current practice location is 384 Mount Everest Way, Bowling Green, Kentucky. You can reach out to his office (for appointments etc.) via phone at (615) 719-0458.

Jimmy Reece Smith is licensed to practice in Kentucky (license number 4026120) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629701032.

Contact Information

	Jimmy Reece Smith,
	384 Mount Everest Way, Bowling Green, KY 42104-8569
	(615) 719-0458
	Not Available

Map and Direction

Provider's Profile

Full Name	Jimmy Reece Smith
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	384 Mount Everest Way, Bowling Green, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629701032
Provider Enumeration Date: 07/04/2022
Last Update Date: 12/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5991233678
Enrollment ID: I20250108002641

Medical Identifiers

Medical identifiers for Jimmy Reece Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629701032	NPI	-	NPPES
1099382	Other	KY	KY BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1099382 (Kentucky)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4026120 (Kentucky)	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. Jimmy Reece Smith allows following entities to bill medicare on his behalf.

Entity Name	Lake Substance Abuse Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124598669 PECOS PAC ID: 8123440401 Enrollment ID: O20200715001084

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. Jimmy Reece 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
Jimmy Reece Smith, 1143 Fairway St Ste 103, Bowling Green, KY 42103-2452 Ph: (407) 347-4536	Jimmy Reece Smith, 384 Mount Everest Way, Bowling Green, KY 42104-8569 Ph: (615) 719-0458

Reviews and Comments

Nurse Practitioner Nurses in Bowling Green, KY

Marcia Atherton, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1048 Ashley St Ste 103a, Bowling Green, KY 42103 Phone: 270-599-0958
Mrs. Kamala Mechelle Brooks, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1777 Ashley Cir, Bowling Green, KY 42104 Phone: 270-781-4090
Paula Devore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Natchez Trace Ave Ste 205, Bowling Green, KY 42103 Phone: 270-745-7246 Fax: 270-282-2027
Mrs. Demara Andrea Goodrich, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Fairway St, Bowling Green, KY 42103 Phone: 270-781-3910
Amy Hudson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104 Phone: 270-746-6330
Stephanie N Marsee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5575 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-282-7088 Fax: 270-782-6438
Mrs. Shellie D Hardcastle, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1808 Fax: 270-796-5516

Jimmy Reece Smith, - Medicare Nurse Practitioner in Bowling Green, KY