Kelly Wayne Smith, NP FNP-PP in Coos Bay, OR - Medicare Nurse Practitioner

Kelly Wayne Smith, NP FNP-PP is a medicare enrolled "Nurse Practitioner - Adult Health" in Coos Bay, Oregon. His current practice location is Bay Clinic, Llp, 1750 Thompson Rd, Coos Bay, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 269-0333.

Kelly Wayne Smith is licensed to practice in Oregon (license number ) 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 1508083189.

Contact Information

	Kelly Wayne Smith, NP FNP-PP
	Bay Clinic, Llp, 1750 Thompson Rd, Coos Bay, OR 97420
	(541) 269-0333
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Wayne Smith
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	Bay Clinic, Llp, Coos Bay, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508083189
Provider Enumeration Date: 04/18/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6709985781
Enrollment ID: I20070618000089

Medical Identifiers

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

Identifier	Type	State	Issuer
1508083189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	(Oregon)	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. Kelly Wayne Smith allows following entities to bill medicare on his behalf.

Entity Name	North Bend Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138

Entity Name	Bay Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538174958 PECOS PAC ID: 9638164874 Enrollment ID: O20040417000310

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 Wayne 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 Wayne Smith, NP FNP-PP Bay Clinic, Llp, 1750 Thompson Rd, Coos Bay, OR 97420 Ph: (541) 269-0333	Kelly Wayne Smith, NP FNP-PP Bay Clinic, Llp, 1750 Thompson Rd, Coos Bay, OR 97420 Ph: (541) 269-0333

Reviews and Comments

Nurse Practitioner Nurses in Coos Bay, OR

Jenny V Tausch, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Central Ave Ste 212, Coos Bay, OR 97420 Phone: 401-217-9333 Fax: 541-543-2470
Mrs. Regina M Ardiana, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 Fax: 541-269-8469
Angela Renee York, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Mrs. Shirley Deveere Reynolds, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 998 Inlet Loop, Coos Bay, OR 97420 Phone: 773-996-0242
Mitaliben Rajendrakumar Gor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Shelly Prather, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Diane H Todd, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4578

Kelly Wayne Smith, NP FNP-PP - Medicare Nurse Practitioner in Coos Bay, OR