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 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Physician Services Pc, Ahs Il Medical Group Llc, Emergency Services Midwest Sc 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	14 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: I20160810001380

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
Christian Hospital Northeast	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Physician Services Pc	0042307852	608
Ahs Il Medical Group Llc	5496111676	48
Emergency Services Midwest Sc	2769746056	39

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 Physicians Of Memphis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434

Entity Name	Our Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902815863 PECOS PAC ID: 5799782496 Enrollment ID: O20061020000531

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: O20080108000151

Entity Name	Hospital Medicine Services Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160531002246

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235

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

Nurse Practitioner Nurses in Saint Louis, MO

Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545
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