Lynda M Smith, MSN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Collegedale, Tennessee. Her current practice location is
5121 Ooltewah-ringgold Road, Suite G, Collegedale, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 238-0033.
Lynda M Smith is licensed to practice in Tennessee (license number 11775) 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 1053428516.
Provider's Profile
| Full Name | Lynda M Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5121 Ooltewah-ringgold Road, Collegedale, Tennessee |
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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: 1053428516
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 08/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 8527069970
- Enrollment ID: I20070126000598
Medical Identifiers
Medical identifiers for Lynda M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053428516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 11775 (Tennessee) | 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. Lynda M Smith allows following entities to bill medicare on her behalf.
| Entity Name | C Rodney Susong Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073693016 PECOS PAC ID: 1355399130 Enrollment ID: O20050107000819 |
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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. Lynda M 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 |
Lynda M Smith, MSN, FNP Po Box 793, Ooltewah, TN 37363-0793 Ph: (423) 238-0033 | Lynda M Smith, MSN, FNP 5121 Ooltewah-ringgold Road, Suite G, Collegedale, TN 37315 Ph: (423) 238-0033 |
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