Jualynda Carol Smith, FNP-C in Los Angeles, CA

Jualynda Carol Smith, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. Her current practice location is 12301 Wilshire Blvd Ste 200, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 828-2293.

Jualynda Carol Smith is licensed to practice in California (license number 95006415) 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 1720518772.

Contact Information

	Jualynda Carol Smith, FNP-C
	12301 Wilshire Blvd Ste 200, Los Angeles, CA 90025-1023
	(310) 828-2293
	(310) 453-3759

Map and Direction

Provider's Profile

Full Name	Jualynda Carol Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12301 Wilshire Blvd Ste 200, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720518772
Provider Enumeration Date: 06/13/2017
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2062779622
Enrollment ID: I20171206003248

Medical Identifiers

Medical identifiers for Jualynda Carol Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720518772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95006415 (California)	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. Jualynda Carol Smith allows following entities to bill medicare on her behalf.

Entity Name	St. John's Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

Entity Name	Eisenhower Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013981554 PECOS PAC ID: 5890689657 Enrollment ID: O20100506000102

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. Jualynda Carol 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
Jualynda Carol Smith, FNP-C 12301 Wilshire Blvd Ste 200, Los Angeles, CA 90025-1023 Ph: (310) 828-2293	Jualynda Carol Smith, FNP-C 12301 Wilshire Blvd Ste 200, Los Angeles, CA 90025-1023 Ph: (310) 828-2293

Reviews and Comments

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Jualynda Carol Smith, FNP-C - Medicare Nurse Practitioner in Los Angeles, CA