Kelly Smith, in South Boston, VA - Medicare Nurse Practitioner

Kelly Smith, is a medicare enrolled "Nurse Practitioner" in South Boston, Virginia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dominion Health Medical Assoc and her current practice location is 2232 Wilborn Ave Ste D, South Boston, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 575-1212.

Kelly Smith is licensed to practice in Virginia (license number 0024172518) 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 1518353341.

Contact Information

	Kelly Smith,
	2232 Wilborn Ave Ste D, South Boston, VA 24592-1662
	(434) 575-1212
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	2232 Wilborn Ave Ste D, South Boston, Virginia
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:

Kelly Smith graduated from nursing school in 2015

NPI Data:

NPI Number: 1518353341
Provider Enumeration Date: 04/08/2015
Last Update Date: 04/08/2015

Medicare PECOS Information:

PECOS PAC ID: 6608188974
Enrollment ID: I20150630001592

Medical Identifiers

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

Identifier	Type	State	Issuer
1518353341	NPI	-	NPPES
0024172518	Other	VA	VA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0024172518 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sentara Halifax Regional Hospital	South boston, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dominion Health Medical Assoc	1254311558	19

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. Kelly Smith allows following entities to bill medicare on her behalf.

Entity Name	Dominion Health Medical Assoc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840

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. Kelly 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
Kelly Smith, 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 Ph: () -	Kelly Smith, 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 Ph: (434) 575-1212

Reviews and Comments

Nurse Practitioner Nurses in South Boston, VA

Whitney Heather Rae Wilborn, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 Fax: 434-517-3989
Amanda Igata, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879
Jon M Hughes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100
Mrs. Michelle Bender Gibson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2232 Wilborn Ave, Suite D, Hematology Oncology Practice Of Southside Va, Pc, South Boston, VA 24592 Phone: 434-575-1212 Fax: 434-575-1130
Carrie Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-6565
Jonette Talbott, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063
Brandi S Thompson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2232 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8977

Kelly Smith, - Medicare Nurse Practitioner in South Boston, VA