Mr David Cooper Smith, FNP-BC, PHN, CNL in Indio, CA

Mr David Cooper Smith, FNP-BC, PHN, CNL is a medicare enrolled "Nurse Practitioner" in Indio, California. His current practice location is 81719 Dr Carreon Blvd Ste A, Indio, California. You can reach out to his office (for appointments etc.) via phone at (760) 340-0707.

Mr David Cooper Smith is licensed to practice in California (license number NP95032693) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144860651.

Contact Information

	Mr David Cooper Smith, FNP-BC, PHN, CNL
	81719 Dr Carreon Blvd Ste A, Indio, CA 92201-5518
	(760) 340-0707
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr David Cooper Smith
Gender	Male
Speciality	Nurse Practitioner
Location	81719 Dr Carreon Blvd Ste A, Indio, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144860651
Provider Enumeration Date: 01/13/2020
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 2860916434
Enrollment ID: I20250404002793

Medical Identifiers

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

Identifier	Type	State	Issuer
1144860651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP95032693 (California)	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. Mr David Cooper Smith allows following entities to bill medicare on his behalf.

Entity Name	Valley Comprehensive Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164506358 PECOS PAC ID: 4587601786 Enrollment ID: O20050408001131

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. Mr David Cooper 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
Mr David Cooper Smith, FNP-BC, PHN, CNL 82879 Kingsboro Ln, Indio, CA 92201-9667 Ph: (415) 341-7742	Mr David Cooper Smith, FNP-BC, PHN, CNL 81719 Dr Carreon Blvd Ste A, Indio, CA 92201-5518 Ph: (760) 340-0707

Reviews and Comments

Nurse Practitioner Nurses in Indio, CA

Mr. Steven Joseph Hernandez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81812 Doctor Carreon Blvd Ste E, Indio, CA 92201 Phone: 442-236-1498 Fax: 886-315-1508
Lizette Cerna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80495 Us Highway 111, Indio, CA 92201 Phone: 760-347-2887 Fax: 760-347-0776
Mr. Daniel Jay Gendron, APRN-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 47111 Monroe St, Indio, CA 92201 Phone: 760-775-8111
John-john Loreto, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47111 Monroe St, Indio, CA 92201 Phone: 760-775-8111
Ms. Min Cen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81709 Dr Carreon Blvd Ste E1, Indio, CA 92201 Phone: 913-752-7002 Fax: 866-997-9757
Mrs. Stacie Lynn Nellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80495 Us Highway 111, Indio, CA 92201 Phone: 760-347-2887

Mr David Cooper Smith, FNP-BC, PHN, CNL - Medicare Nurse Practitioner in Indio, CA