Miss Tavia Nikol Smith, FNP-BC in Saint Louis, MO

Miss Tavia Nikol Smith, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Saint Louis, Missouri. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ahs Il Medical Group Llc and her current practice location is 11133 Dunn Rd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 653-5700.

Miss Tavia Nikol Smith is licensed to practice in Missouri (license number 2015019119) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1568813061.

Contact Information

	Miss Tavia Nikol Smith, FNP-BC
	11133 Dunn Rd, Saint Louis, MO 63136-6163
	(314) 653-5700
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Tavia Nikol Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	11133 Dunn Rd, Saint Louis, Missouri
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Tavia Nikol Smith graduated from nursing school in 2012

NPI Data:

NPI Number: 1568813061
Provider Enumeration Date: 06/26/2016
Last Update Date: 06/26/2016

Medicare PECOS Information:

PECOS PAC ID: 7517251754
Enrollment ID: I20220429001918

Medical Identifiers

Medical identifiers for Miss Tavia Nikol Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568813061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2015019119 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gateway Regional Medical Center	Granite city, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ahs Il Medical Group Llc	5496111676	51

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. Miss Tavia Nikol Smith allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Emergency Services Of Memphis Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20150428000000

Entity Name	Granite City Hospitalist Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282

Entity Name	Emergency Services Midwest Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174024806 PECOS PAC ID: 2769746056 Enrollment ID: O20180515000619

Entity Name	Carle West Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

Entity Name	Ahs Il Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300

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. Miss Tavia Nikol 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
Miss Tavia Nikol Smith, FNP-BC 10511 Roseton Ct, Saint Louis, MO 63114-1957 Ph: (314) 420-2768	Miss Tavia Nikol Smith, FNP-BC 11133 Dunn Rd, Saint Louis, MO 63136-6163 Ph: (314) 653-5700

Reviews and Comments

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Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000
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Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Forest Park Ave, Div Im Hematology, 6th Fl, Saint Louis, MO 63108 Phone: 314-362-7216 Fax: 314-696-1391
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Jessica Lyn Burich, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1129 Macklind Ave, Saint Louis, MO 63110 Phone: 314-534-0200 Fax: 314-534-7996

Miss Tavia Nikol Smith, FNP-BC - Medicare Nurse Practitioner in Saint Louis, MO