Michael David Smith, NURSE PRACTITIONER in Johnson City, TN

Michael David Smith, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Johnson City, Tennessee. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Holston Medical Group Pc and his current practice location is 3019 Peoples St # Condo300, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 461-2100.

Michael David Smith is licensed to practice in Tennessee (license number APN7641) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003819707.

Contact Information

	Michael David Smith, NURSE PRACTITIONER
	3019 Peoples St # Condo300, Johnson City, TN 37604-1977
	(423) 461-2100
	(423) 461-2199

Map and Direction

Provider's Profile

Full Name	Michael David Smith
Gender	Male
Speciality	Nurse Practitioner
Experience	21 Years
Location	3019 Peoples St # Condo300, Johnson City, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael David Smith graduated from nursing school in 2003

NPI Data:

NPI Number: 1003819707
Provider Enumeration Date: 05/27/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6709923865
Enrollment ID: I20091021000575

Medical Identifiers

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

Identifier	Type	State	Issuer
1003819707	NPI	-	NPPES
3347731	Medicaid	TN
APN7641	Other	TN	ADVANCED PRACTICE NURSE
RN115963	Other	TN	REGISTER NURSE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APN7641 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health	Johnson city, TN	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holston Medical Group Pc	8224935754	221

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. Michael David Smith allows following entities to bill medicare on his behalf.

Entity Name	Holston Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416

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. Michael David 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
Michael David Smith, NURSE PRACTITIONER Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2093	Michael David Smith, NURSE PRACTITIONER 3019 Peoples St # Condo300, Johnson City, TN 37604-1977 Ph: (423) 461-2100

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-6940
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720
Miss Samantha Manuel I, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 W Oakland Ave, Suite 301, Johnson City, TN 37604 Phone: 423-952-8000 Fax: 423-952-8001

Michael David Smith, NURSE PRACTITIONER - Medicare Nurse Practitioner in Johnson City, TN