Mr Ethan Tyler Smitherman, PMHNP in Hernando, MS

Mr Ethan Tyler Smitherman, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hernando, Mississippi. His current practice location is 324 W Valley St Ste 108, Hernando, Mississippi. You can reach out to his office (for appointments etc.) via phone at (901) 491-0130.

Mr Ethan Tyler Smitherman is licensed to practice in Mississippi (license number 905753) 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 1316643398.

Contact Information

	Mr Ethan Tyler Smitherman, PMHNP
	324 W Valley St Ste 108, Hernando, MS 38632-1749
	(901) 491-0130
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ethan Tyler Smitherman
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	324 W Valley St Ste 108, Hernando, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316643398
Provider Enumeration Date: 02/01/2023
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6507229804
Enrollment ID: I20230905002328

Medical Identifiers

Medical identifiers for Mr Ethan Tyler Smitherman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316643398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	905753 (Mississippi)	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 Ethan Tyler Smitherman allows following entities to bill medicare on his behalf.

Entity Name	Hernando Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912600750 PECOS PAC ID: 5698138998 Enrollment ID: O20230905002044

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 Ethan Tyler Smitherman 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 Ethan Tyler Smitherman, PMHNP 324 W Valley St Ste 108, Hernando, MS 38632-1749 Ph: (901) 491-0130	Mr Ethan Tyler Smitherman, PMHNP 324 W Valley St Ste 108, Hernando, MS 38632-1749 Ph: (901) 491-0130

Reviews and Comments

Nurse Practitioner Nurses in Hernando, MS

Casey Tramel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 E Commerce St, Hernando, MS 38632 Phone: 662-298-2238
Mrs. Cynthia H. Nichols, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 124 W Commerce St, Hernando, MS 38632 Phone: 662-429-5221 Fax: 662-429-7917
Lora Michelle Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2416 Mount Pleasant Rd, Hernando, MS 38632 Phone: 662-298-3181 Fax: 662-269-4704
Lauren Michelle Person, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2416 Mount Pleasant Rd, Hernando, MS 38632 Phone: 662-560-5960 Fax: 662-560-5969
Stacey S Patterson, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2725 Highway 51 S, Hernando, MS 38632 Phone: 662-449-1808
Elizabeth Marlynn Wooldridge, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 E Commerce St, Hernando, MS 38632 Phone: 662-429-9111 Fax: 662-429-6111

Mr Ethan Tyler Smitherman, PMHNP - Medicare Nurse Practitioner in Hernando, MS