Keisha Sereen Parke Smith, in Rosedale, MD - Medicare Nurse Practitioner

Keisha Sereen Parke Smith, is a medicare enrolled "Nurse Practitioner - Family" in Rosedale, Maryland. Her current practice location is 1232 Race Road, Ste 403, Rosedale, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 868-7101.

Keisha Sereen Parke Smith is licensed to practice in Maryland (license number R166453) 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 1275119232.

Contact Information

	Keisha Sereen Parke Smith,
	1232 Race Road, Ste 403, Rosedale, MD 21237-2123
	(443) 868-7101
	(443) 732-0054

Map and Direction

Provider's Profile

Full Name	Keisha Sereen Parke Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1232 Race Road, Rosedale, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275119232
Provider Enumeration Date: 03/22/2021
Last Update Date: 07/27/2022

Medicare PECOS Information:

PECOS PAC ID: 1254731516
Enrollment ID: I20210609000492

Medical Identifiers

Medical identifiers for Keisha Sereen Parke Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275119232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R166453 (Maryland)	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. Keisha Sereen Parke Smith allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

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. Keisha Sereen Parke 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
Keisha Sereen Parke Smith, 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423	Keisha Sereen Parke Smith, 1232 Race Road, Ste 403, Rosedale, MD 21237-2123 Ph: (443) 868-7101

Reviews and Comments

Nurse Practitioner Nurses in Rosedale, MD

Hotenesia Njoroge, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Hallsdale Ct, Rosedale, MD 21237 Phone: 410-456-5812
Beauty Kevwe Nwamoh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1232 Race Road, Ste 403, Rosedale, MD 21237 Phone: 443-868-7101 Fax: 443-732-0054
Emu Godspower Ohwobete, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Clementine Ct Apt 3b, Rosedale, MD 21237 Phone: 443-500-2458
Priscilla Benewaah, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8386 Old Philadelphia Rd, Rosedale, MD 21237 Phone: 410-499-4707
Mr. Ronald D Distler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6918 Ridge Rd, Rosedale, MD 21237 Phone: 443-442-1568 Fax: 443-442-1569
Mrs. Bridget Donnelly, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9103 Franklin Square Dr, #303, Rosedale, MD 21237 Phone: 443-777-2475
Larissa Catherine Bell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9106 Philadelphia Rd Ste 200, Rosedale, MD 21237 Phone: 410-790-1980

Keisha Sereen Parke Smith, - Medicare Nurse Practitioner in Rosedale, MD