Kristen Marie Smith, CNM is a medicare enrolled "Advanced Practice Midwife" in Wesley Chapel, North Carolina. Her current practice location is
6488 Weddington Monroe Rd, Wesley Chapel, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 384-1020.
Kristen Marie Smith is licensed to practice in North Carolina (license number 743) 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 1396103958.
Provider's Profile
| Full Name | Kristen Marie Smith |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 6488 Weddington Monroe Rd, Wesley Chapel, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396103958
- Provider Enumeration Date: 02/10/2016
- Last Update Date: 04/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264738558
- Enrollment ID: I20160314000357
Medical Identifiers
Medical identifiers for Kristen Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396103958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367A00000X | Advanced Practice Midwife | 743 (North Carolina) | 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. Kristen Marie Smith allows following entities to bill medicare on her behalf.
| Entity Name | Novant Health Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
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| Entity Name | Novant Health Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028 |
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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. Kristen Marie 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 |
Kristen Marie Smith, CNM Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Kristen Marie Smith, CNM 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104 Ph: (704) 384-1020 |
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